This book is for all medical professionals and especially for those who are involved in management of spinal ailments. Medicos who want to know about the advances integrated in the IOTSS (Integrated Operation Theater Spine Suite) to make spine surgeries safe. Basic to advanced knowledge is shared by 4 sections and thirty3 case illustrations. The book is written in 4 sections: • Section 1: It is about Enabling Technology (except Robot) and Integrated Operation Theater Spine Suite (IOTSS) • Section 2: Illustration of Thirty3 cases. These cases start from cervical (first vertebrae) and end to coccyx (last vertebrae). Each chapter starts with detailed history of patient followed with the treatment given explaining the use of technology. • Section 3: Paradox and Caveats with Murphy's law. This section explains the limitations and contradictory statements related to all the cases written in Section 2. It includes Murphy's law, how it influences in daily practice. • Section 4: It includes the information about the Institute and surgical members. The list of publications from Stavya team is highlighted.