Spinal tethering surgery is a revolutionary technique that has changed the landscape of scoliosis treatment. It provides a less invasive alternative to traditional spinal fusion, allowing for better preservation of spinal flexibility and function. This innovative procedure uses a flexible cord or tether attached to the spine to control and correct curvature as the patient grows. Its significance lies in improving both the physical and psychological well-being of patients by addressing the deformity without the limitations associated with fusion surgeries.