Board-Certified Spine Surgery

No BS
Spine Consults

A straight answer from a spine surgeon — surgery or no surgery.

Clear explanations. No pressure. No hospital agenda.

Board-Certified Spine Surgeon
MRI & Imaging Review
Surgery vs. No Surgery Guidance
Cash-Pay, No Insurance
Kentucky & Indiana

The problem

Conflicting spine opinions are exhausting.

One doctor says surgery. Another says physical therapy. A third says you just need to live with it. You've spent months navigating a system that profits from complexity — and you still don't have a clear answer. You deserve a straight opinion from a surgeon who has nothing to sell you except the truth.

What you get

Three things. Nothing more.

01

Plain-English Diagnosis

What's actually happening in your spine — explained in terms you can understand and act on, not medical jargon designed to confuse.

02

Direct Recommendation

Surgery or no surgery. Physical therapy or watchful waiting. A clear position — not a hedge, not a referral carousel.

03

Clear Next Step

What to do with this information. Whether you pursue treatment locally, at miiSpine, or elsewhere — you leave with a plan.

How it works

Four steps to clarity.

01

Choose your consult tier

Select the level of review that matches your situation — from a focused record review to a comprehensive surgical risk assessment.

02

Upload imaging and records

Securely submit your MRI, CT scans, X-rays, and prior treatment notes. Standard DICOM and PDF formats accepted.

03

Review — live or asynchronous

Depending on your tier, receive a written report or join a live telemedicine session with Dr. V to walk through your case directly.

04

Receive a clear, honest recommendation

A written summary you keep — what you have, what it means, and what to do next. No hospital agenda. No upsell.

Pricing

Choose your level of review.

All consults are cash-pay. No insurance billing. No surprise charges. Available to residents of Kentucky and Indiana.

Essential

$149

Expert Record & Imaging Review

  • Written review of your MRI, CT, or X-rays
  • Review of prior clinical notes and records
  • Surgery vs. no surgery verdict
  • Plain-English written summary
  • Delivered within 48–72 hours
Most selected

Live Consult

$299

Live No BS Spine Consult

  • Everything in Essential
  • Live telemedicine session with Dr. V
  • Real-time image walkthrough on screen
  • Ask your questions directly
  • Written summary provided after session

Elite

$549

Surgical Decision Review

  • Everything in Live Consult
  • Comprehensive medical history review
  • Proprietary surgical risk stratification
  • Detailed written report with risk profile
  • Suitable for pre-surgical second opinions

The promise

"If surgery isn't the right answer, I'll say so."

Most spine consultations happen inside systems that benefit when you proceed with treatment. This is different. My only obligation here is to give you an honest read of your situation. If you don't need surgery, you'll hear it clearly — and you'll know what to do instead. If you do need surgery, I'll explain why and help you understand your options — regardless of where you choose to have it done.

Common questions

Before you reach out.

Is this emergency care?
No. This service is not designed for acute emergencies. If you are experiencing sudden loss of bowel or bladder control, rapidly progressing weakness, or severe trauma — go to an emergency room immediately. This service is for patients with chronic or ongoing spine conditions seeking clarity.
Is this a replacement for my local doctor?
No. This is an advisory second opinion. It complements your existing care — it does not replace your primary care physician or treating specialist. Think of it as a clear, unbiased read from a surgeon with no stake in what you decide next.
Do you prescribe medications?
No. This service does not include prescriptions, procedures, or ongoing treatment management. It is a consultation service focused exclusively on diagnosis review and treatment recommendations.
Can I pursue treatment anywhere?
Yes, absolutely. The recommendation you receive is yours to take anywhere. You are under no obligation to pursue treatment at miiSpine or any affiliated provider. The goal is to give you clarity — what you do with it is your choice.

Get in touch

Tell us about your situation.

Not ready to book yet? Send a brief summary and we'll follow up within one business day.

Thank you. We'll be in touch within one business day.

Ready for a straight answer?

No pressure. No hospital agenda. Just clarity.