MATERIAL and METHODS: Six cases of far lateral lumbar disc herniation were admitted to our clinic. Four patients were treated with a convex skin and fascia incision, and paramuscular intertransverse microdiscectomy. Severe pain and varying degrees of neurological deficits were found in far lateral lumbar disc herniation at admission to hospital.

RESULTS: Postoperatively, one patient complained of burning radicular pain continuing in the other hand while there was improvement in the pain and motor deficit findings in four patients. There was no wound healing problem or radiological iatrogenic instability development.

CONCLUSION: It is possible to access the intertransverse space with a median convex skin-fascial incision and median paramuscular muscle dissection. This approach enables a smaller incision and decreased soft tissue resistance. The approach should be preferred when possible. Anahtar Kelimeler : Intertransverse approach, Convex incision, Microdiscectomy, Far lateral disc herniation