Transforaminal lumbar interbody fusion (TLIF) was first described by Harms and Rolinger in 1982. The approach they introduced allows the surgeon to access the intervertebral disk space with relative ease and safety. Similar to posterior lumbar interbody fusion, TLIF provides the surgeon with the ability to fuse a spinal segment anteriorly and posteriorly through a single posterior procedure. This approach eliminates the morbidity and potential complications of anterior fusion, including iliac vessel damage, deep venous thrombosis secondary to vessel retraction, and retrograde ejaculation from hypogastric plexus injury.