Quality imaging is essential to navigating the spine during surgery. The small margin of error that minimally invasive techniques allow has heightened the need for more refined images. A successful spine facility will need a quality C-arm, fluoroscopy unit and radiolucent surgical tables. Fluoroscopy provides surgeons with a 2-D image of the targeted area. Intraoperative CT scanning offers a 3-D picture of the patient's anatomy and is ideal for more complex spine cases. Digital ORs, meanwhile, offer a glimpse into the not-so-distant future of spine imaging.