The minimally invasive paramedian approach for foraminal disc herniation.

•The paramedian approach to foraminal disc herniation produces satisfactory clinical and functional outcomes.•Approach involved hemilaminectomy, partial medial pars resection, medial facetectomy and microdiscectomy.•Low complication rate and most patients discharged home the same day of surgery.•Outcomes comparable to other studies and approaches to symptomatic foraminal disc herniation.