Posterior cervical laminoforaminotomy is a very effective approach for the treatment of foraminal disc herniation and/or cervical nerve root compression due to osteophytes. The use of minimally invasive methods in the posterior cervical spine is relatively easy compared to other regions because of the simplicity of the anatomy. Minimally invasive surgery minimizes skin incision and muscle dissection, resulting in less postoperative neck pain and muscle spasms. Minimally invasive laminoforaminotomy is a safe technique and results are similar according to the open technique. Surgical morbidity is low because of the minimally invasive approach. However, the steep learning curve of the technique, the need of surgical experience, and the cost of endoscopic equipment should be kept in mind.