Deformity correction using minimally invasive surgical (MIS) techniques can be challenging. Here the authors present a case in which an anterior column resection was performed using an MIS lateral approach to restore lumbar lordosis and improve sagittal balance. The authors demonstrate the technique and discuss potential complications and how they may be avoided. Ifije Ohiorhenuan, MD, PhD,1 Vedat Deviren, MD,2 and Juan S. Uribe, MD1 1Department of Neurological Surgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona; and 2Department of Orthopaedic Surgery, University of California, San Francisco, California