Frankel WC, et al. - Researchers performed this retrospective cohort study of 67,758 patients undergoing laminectomy from the New York Statewide Planning and Research Cooperative System database, in order to ascertain evidence-based volume thresholds for surgeons and hospitals predictive of enhanced value in the setting of laminectomy. As per findings, surgeons and hospitals have a direct volume–value relationship in the setting of laminectomy. In progressively higher volume categories for both surgeons and hospitals, significantly reduced length of stay and cost were evident. Hospitals and surgeons may receive a meaningful return on investment in this increasingly value-based system by considering the target-estimated thresholds provided in this work. Further value-based optimization is possible in the finding that while the highest volume hospitals handle the largest proportion of laminectomies, the highest volume surgeons do not.