This gallery of photographs represents the step by step sequence through an anterior cervical discectomy and fusion. In this case, this is a young south pacific island male with severe central stenosis at C5/6 and C6/7 with cervical myelopathy. First the endotracheal tube is placed by the anesthesiologist, next the anterior aspect of the neck is marked, prepped and draped. The actual anterior cervical discectomy and fusion procedure takes about an hour and a half to two hours for a 2 level case. When the case is finished, the incision is closed with an absorbable suture and covered with a thin film of dermabond which seals the skin. A single steri-strip is place across the incision and the patient is allowed to shower and bathe normally the first day after surgery.