Participants should possess a solid understanding of spinal pathology, spinal anatomy, and conventional spinal surgical techniques.

Previous experience in spine surgery is strongly recommended; however, prior experience in endoscopic surgery is not mandatory.

The curriculum is structured to accommodate participants ranging from beginners with no prior UBE experience to experienced endoscopic surgeons pursuing advanced applications and mastery of complex procedures.

The modular design allows progressive learning from fundamental principles to advanced cervical, thoracic, and fusion techniques.

Upon completion of the ESUBE Diploma in Unilateral Biportal Endoscopy, participants will be able to:

• Understand the fundamental principles of Unilateral Biportal Endoscopy (UBE), including equipment, operating room setup, fluid management, instrumentation, ergonomics, and surgical workflow.
• Develop a comprehensive knowledge of spinal anatomy as viewed through the endoscope, identifying key anatomical landmarks relevant to lumbar, cervical, and thoracic procedures.
• Recognize the indications, contraindications, advantages, and limitations of UBE, allowing appropriate patient selection and surgical planning.
• Master the step-by-step surgical techniques for endoscopic decompression, including interlaminar, contralateral, translaminar, foraminal, extraforaminal, and cervical approaches.
• Interpret preoperative imaging and correlate radiological findings with clinical presentation, facilitating accurate decision-making and approach selection.
• Perform safe bone and soft tissue decompression techniques, while preserving stability and minimizing neural manipulation.
• Identify and manage intraoperative challenges and complications, including dural tears, bleeding, inadequate decompression, fluid-related issues, and postoperative complications.
• Understand the principles and technical aspects of endoscopic fusion procedures, including indications, surgical planning, and procedural steps.
• Apply evidence-based concepts in spinal endoscopy, critically evaluating current literature and integrating best practices into daily clinical practice.
• Develop the knowledge and confidence required to progress safely through the learning curve of UBE, from basic decompression procedures to advanced cervical, thoracic, and fusion techniques.
• Demonstrate readiness for supervised clinical practice, through successful completion of theoretical assessments, case discussions, surgical video analysis, and practical training modules.

The ESUBE Online Diploma has been designed as a comprehensive educational pathway covering the full spectrum of Unilateral Biportal Endoscopy, from fundamental concepts to advanced cervical, thoracic, and fusion procedures.

The program includes 10 structured modules, a dedicated surgical video library, interactive assessments, and certification upon successful completion.

As a self-paced course, participants may progress according to their own schedule, allowing flexibility while ensuring a thorough and standardized learning experience aligned with ESUBE educational standards.

Participants who successfully complete all mandatory course requirements will be awarded the ESUBE Online Diploma in Unilateral Biportal Endoscopy.

To obtain certification, participants must:

• Complete all mandatory course modules.
• Successfully pass the final assessment examination.
• Achieve the minimum passing score established by ESUBE.
• Fulfil all required educational components of the program.

Upon successful completion, participants will receive a personalized digital certificate issued by the European Society of Unilateral Biportal Endoscopy (ESUBE), which can be downloaded directly from the learning platform.

The ESUBE Online Diploma certifies that the participant has successfully completed a structured educational curriculum covering the theoretical principles, surgical techniques, clinical applications, and complication management of Unilateral Biportal Endoscopy.

This certification reflects successful completion of the educational program and assessment process. It does not constitute a professional license nor certify independent surgical competency, which remains dependent on clinical training, mentorship, hands-on experience, and compliance with local regulatory requirements.