Choosing the Best Spine Surgeon in San Diego: What to Look for Before You Decide

Choosing a spine surgeon is a major decision. Quick answers may be tempting when pain affects your life, but taking your time and asking the right questions leads to better outcomes.

San Diego offers access to highly trained specialists, but experience, approach, and communication style can vary widely. Knowing what to look for can help you move forward with confidence rather than uncertainty.

Here’s how you can make a more informed decision and choose a surgeon you feel confident moving forward with.

Look for Board Certification and Specialized Training

Start with medical credentials, but don’t stop there.

A qualified spine surgeon should be board-certified and have advanced training in spinal procedures. Fellowship training in spine surgery often indicates a deeper focus in this area, beyond general orthopedic or neurosurgical training.

This matters because spine conditions can vary significantly, and treatment decisions often depend on a detailed understanding of anatomy, nerve function, and surgical technique.

Ask About Experience with Your Specific Condition

Spine surgery is not one-size-fits-all. A board-certified spine surgeon experienced with your condition can recognize subtle differences and recommend better solutions. For issues like herniated discs or spinal stenosis, experience matters in planning and outcomes.

Don’t hesitate to ask how often they perform similar procedures and what results they typically see.

Understand Their Approach to Treatment

Not every spine condition requires surgery. In many cases, conservative care such as physical therapy, medication, or injections may be the first step.

A strong spine surgeon will explain all available options and outline when surgery makes sense and when it does not. The goal should always be to recommend the least invasive and most effective path forward.

Pay attention to how this conversation is handled. Clear explanations and realistic expectations often signal a more thoughtful, patient-centred approach.

Understand Your Diagnosis Before Choosing a Surgeon

Neck and back issues stem from a range of conditions (like Herniated Discs, Radiculopathy, and Spinal Stenosis), and many of them present in similar ways. That’s why having a clear diagnosis matters before making any decisions about treatment.

If you’re unsure about your diagnosis, here are a few things worth paying attention to:

  • Whether your symptoms have been clearly explained: You should understand what’s causing your pain, not just where it’s located.
  • If the diagnosis matches what you’re feeling: Symptoms like radiating pain, numbness, or weakness may point to nerve involvement rather than a simple structural issue.
  • Whether imaging has been reviewed with you: A good explanation often includes walking through MRI or scan results in a way that makes sense.
  • If the recommended treatment feels clear and appropriate: Different conditions require different approaches, and the reasoning behind treatment should feel logical to you.
  • Whether you feel confident asking questions: If something doesn’t make sense, it’s worth addressing before moving forward.

Taking the time to understand your diagnosis helps you ask better questions, compare opinions, and make an informed decision about the right choice of care for your needs.

Consider Minimally Invasive Options

Advances in spine surgery have made minimally invasive techniques more widely available. These approaches often involve smaller incisions, less disruption to surrounding tissue, and shorter recovery times.

Not every patient is a candidate for minimally invasive surgery, but it’s worth discussing whether it applies to your situation.

Surgeons who are trained in these techniques can offer additional options that may not be available in more traditional approaches.

Evaluate Communication and Clarity

The technical side of surgery matters, but so does communication.

You should feel comfortable asking questions and confident that you understand the answers. A good spine surgeon takes the time to explain your diagnosis, walk through imaging, and outline what to expect before and after treatment.

If something feels unclear or rushed, it’s worth taking a step back. Clarity is essential when making decisions about your spine.

Read Reviews, but Focus on Patterns

Patient reviews can offer helpful insight, especially when you look at overall patterns rather than individual comments.

Consistent feedback around communication, professionalism, and outcomes often tells you more than one-off experiences.

Look for signs that patients felt heard, informed, and supported throughout their treatment.

Don’t Skip Out on a Second Opinion

When surgery is recommended, a second opinion can provide a valuable perspective. It helps confirm the diagnosis, clarify treatment options, and ensure that you feel confident in the path forward.

Many patients find that a second opinion either reinforces the original recommendation or introduces alternative approaches they had not considered.

Dr. Sanjay Ghosh specializes in providing second opinions, helping patients better understand their condition and evaluate whether surgery is the right next step.

Decide What Makes You Feel Confident

Choosing the right spine surgeon comes down to more than credentials. This decision involves trust, clarity, and a clear understanding of your options.

Taking the time to ask questions, review your choices, and seek additional input when needed can make a meaningful difference in both your experience and your outcome. That’s why finding the right spine surgeon for your individual needs is so important.

Receive Expert Guidance for Your Spine Condition

If you are considering spine surgery or looking for a second opinion, working with an experienced specialist can help you make the right decision with a professional who works with care, empathy, and expertise.

Call (619) 810-1011 or schedule a consultation to speak to a professional about your spinal condition.

Dr. Sanjay Ghosh is a board-certified neurosurgeon at SENTA Clinic in San Diego; fellowship trained in complex spine and cranial base surgery. This content is educational and not a substitute for personalized medical advice. 

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Meet Elisha
Elisha G.
Practice Relations Liaison

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Meet Lauren
Lauren G.
Assistant Office Manager

Lauren was born and raised in San Diego, California. She attended San Diego State University, graduating with a Bachelor of Arts degree in Communication in 2013. She began her professional journey in the hospitality field where she discovered her passion for helping others and building relationships. This eventually inspired her to pursue a career in healthcare, joining Sharp Healthcare in 2016 where she found great fulfillment in learning and growing within the medical field. Lauren began working with Senta Neurosurgery in 2017 supporting Dr. Sanjay Ghosh.

When not at work, Lauren enjoys spending time with her family, being an Auntie, traveling, and being outdoors.

Dr. Ghosh, I just wanted to take a moment & thank you again for all you have done for my husband, Benton (Rick) Coulter. June 26th he was brought by ambulance to Grossmont Hospital. That was the beginning of the scariest days of our lives. When we were told he needed brain surgery we were stunned, confused & not sure what to do. We asked for a second opinion by you. Within 30 minutes you were at Rick’s bedside. You were friendly, caring & confident. After examining him you told us he would need two surgeries instead of one. You even called me at home to answer our many questions. Thank you for treating us with such respect. You were available & patient as we tried to make a decision. Once we decided you were the right Dr. we had continuous confirmations that we had chosen the right one. We will be forever grateful to you! You saved my husband’s life and his sight. God used you in a mighty way & He answered our prayers. Thank you for all the work it took to be a Brain Surgeon & to help others like us. You are not only skilled but you are also caring. We appreciate you so much.
Sincerely, Karen Coulter
So far I have been taken great care of by Dr. Ghosh and his staff. Dr. G has spent quality time with me reviewing my symptoms and MRI’s etc that are a result of a day at a water park turn into one of the worst injuries I have ever had. What I appreciated the most was our efforts as a team to exhaust all options of pain management and PT before coming to the decision that no relief is in sight without surgery. I had already been referred to Dr. G’s office by other friends and patients so I’m very comfortable moving forward with Dr. Ghosh and his team.
Former Patient
I was referred to Dr. Ghosh by my corporate physician. She had heard good things about Dr. Ghosh. I went to several other neurosurgeons. They were all excellent but I just liked Dr. Ghosh’s confidence and frank manner. My surgery was quick and the result was excellent. My recovery time was minimal. The incision, with a little more time will be minimal and not noticeable. The pain I have felt for a long time is gone. I’ve noticed that others feel that Dr. Ghosh and Amanda did not spend enough quality time with them. My time with them was brief. I don’t need alot of hugs and hand holding. I just needed them to provide me with the information I needed to make decisions, which they did to my satisfaction. They are seeing alot of patients. I don’t think it would be fair to others if Dr. Ghosh and Amanda had to spend several hours caring for my psychological needs when all they really needed to do is fix my neck. Amanda is truly capable. I had an issue late on a holiday night. I called. They transferred me to her even though she was at a social event. I explained to her my concerns. She told me what to expect and under what circumstances to come back to the office.For those who felt abandoned and that they didn’t get enough time, you might find other surgeons even more unavailable. Dr. Ghosh stated he was starting to take less patients to try and spend a little more time with each patient. I hope he doesn’t. It won’t be fair to the people who won’t benefit from his talents. A special thank you to Dr. Ghosh and his team.
Former Patient
Meet Edith
Edith Smith
Director of Operations

Edith was born in Budapest, Hungary and immigrated to Los Angeles, CA as a small child.  She later received a Bachelor of Arts degree in Economics from the University of California, San Diego in 1996. From 1997 to 2002, she worked as a Program Manager at Qualcomm, during which time she also obtained a Certificate in Project Management from the University of San Diego. Edith took some time off to start her family but remained active in her volunteer efforts supporting Rady Children’s Hospital Auxiliary, where she co-chaired nine large fundraising events and served on the Board of Directors for 5 years. During her time at Rady Children’s, Edith became passionate about healthcare and neurosurgery in particular when her daughter became a neurosurgical patient at Radys. Edith joined Senta Neurosurgery’s team supporting Dr. Sanjay Ghosh’s practice in 2019. Given her personal experiences, Edith knows that getting a referral to neurosurgery is a stressful, life altering event, so she truly appreciates being part of the patient care process for Dr. Ghosh’s patients.

When not at work, Edith enjoys spending time with her friends and family, traveling, cooking, and entertaining.

Meet Melissa
Melissa Padilla
Surgery Coordinator

Melissa has an Associate of Science Degree in Medical Office Administration. She has worked in healthcare for over 25 years. She started out working in a radiology department processing film and scheduling exams. Melissa joined Dr. Ghosh’s team in 2003 and uses her skills and experience to schedule Dr. Ghosh’s patients for surgery.  She is a fierce advocate for our patients throughout the entire prior authorization and scheduling process, and her goal is to make the scheduling of our patients’ surgeries organized and stress free so that our patients can focus on healing.

Meet Deborah
Deborah Updike
M.M.S, M.S., PA-C

Deborah is a California native. She attended American University in Washington, DC graduating with a Bachelor of Science in Marine Science and Environmental Studies. She was a college athlete, playing NCAA D1 volleyball all four years. She then attended California State University, Long Beach where she received a Masters of Marine Science in Shark Reproductive Physiology. During her first masters degree, she began transitioning into medicine and went on to receive her Master of Medical Science degree in Physician Assistant studies at Midwestern University in Downers Grove, IL. Deborah served as class Vice President. She graduated in 2017 and has been working at Senta Neurosurgery ever since. Deborah is a member of the American Academy of Physician Assistants.

Meet Edith
Edith Smith
Director of Operations

Edith was born in Budapest, Hungary and immigrated to Los Angeles, CA as a small child.  She later received a Bachelor of Arts degree in Economics from the University of California, San Diego in 1996. From 1997 to 2002, she worked as a Program Manager at Qualcomm, during which time she also obtained a Certificate in Project Management from the University of San Diego. Edith took some time off to start her family but remained active in her volunteer efforts supporting Rady Children’s Hospital Auxiliary, where she co-chaired nine large fundraising events and served on the Board of Directors for 5 years. During her time at Rady Children’s, Edith became passionate about healthcare and neurosurgery in particular when her daughter became a neurosurgical patient at Radys. Edith joined Senta Neurosurgery’s team supporting Dr. Sanjay Ghosh’s practice in 2019. Given her personal experiences, Edith knows that getting a referral to neurosurgery is a stressful, life altering event, so she truly appreciates being part of the patient care process for Dr. Ghosh’s patients.

When not at work, Edith enjoys spending time with her friends and family, traveling, cooking, and entertaining.

Meet Felix
Felix Regala
MPAP, PA-C

Felix was born and raised in Abilene, Texas where he graduated from Abilene High School in 2001. He was honored with the Chuck and Doris Moser Scholarship for his accomplishments as a varsity athlete in baseball and his excellence in academics and community service. He then attended Baylor University where he graduated in 2004 with a Bachelor of Science degree in biology. Felix then spent a couple of years working in the laboratory at the Salk Institute for Biological Studies and Johnson & Johnson. He then went on to the Keck School of Medicine at University of Southern California to obtain his Master of Physician Assistant Practice degree. Felix graduated from physician assistant school in 2010. While pursuing his PA degree at USC, Felix served as class president and spent time training in neurosurgery and orthopedic spine.  Felix has been a PA with Dr. Ghosh since May 2011.

Felix enjoys being active, including playing basketball, surfing, snowboarding, golfing, and exercising. Felix is also a member of the American Academy of Physician Assistants and the California Academy of Physician Assistants.

Meet Amanda
Amanda W. Gumbert
M.M.S, PA-C

Amanda received her Bachelor of Science degree in Kinesiology at San Diego State University in 2002. She worked as an Exercise Physiologist at the Cardiac Treatment Center at Scripps Memorial Hospital La Jolla before going to PA School. Amanda graduated from Midwestern University in Glendale, Arizona with a Master of Medical Science degree in Physician Assistant studies in 2005. She began working for Dr. Ghosh in January 2006 working as the senior Physician Assistant and manager of the PAs.   Amanda has spoken at the national level at the AAPA conference on various neurosurgical topics. She is highly committed to the future Physician Assistants and frequently has students shadow her and acts as a PA student preceptor. She is a member of the American Academy of Physician Assistants, Association of Neurosurgical Physician Assistants, and The San Diego Society of Physician Assistants.  Amanda is honored to be a finalist for San Diego Magazine’s Woman of the Year— 2025 Healthcare Pioneer.

When not working, Amanda enjoys hiking, mountain biking, stand up paddle boarding, snowboarding, playing with her dogs and spending time with her family.

San Diego Magazine’s Celebrating Women
2025 Healthcare Pioneer Finalist