Unilateral Biportal Endoscopy Market Size & Share, by Product (Reusable, Single Use); End user; Application; Type - Global Supply & Demand Analysis, Growth Forecasts, Statistics Report 2026-2035

Unilateral Biportal Endoscopy Market - Regional Analysis

North America Market Insights

North America is expected to gain the largest market share of 35.7% by the end of 2035. The region’s upliftment in this field is effectively driven by the presence of healthcare providers who are increasingly preferring minimally invasive surgical options for spinal conditions.  In December 2024, PENTAX Medical, a division of HOYA Group, announced that it received US FDA 510(k) clearance for new models in its i20c Video Endoscope Series, including the EC34-i20cL colonoscope, EG27‑i20c upper GI scope, and OE-B17 wheel extender. The firm also stated that these new endoscopes offer improved ergonomics and exclusive imaging capabilities and support physicians in delivering efficacious care.

The U.S. in the unilateral biportal endoscopy market is growing at a rapid pace owing to the country’s advanced healthcare infrastructure, suitable reimbursements, and high procedural volumes. This can be testified by the report published by NIH that found that insurance status significantly influences the likelihood of patients being recommended for spine surgery in neurosurgical settings. Besides, the analysis of 663 patients revealed that those covered by Medicare and Medicaid were more likely to receive surgical recommendations when compared to patients with private insurance, while uninsured patients showed no significant difference.

Canada has gained enhanced traction in the regional growth in the market, which is supported by its public healthcare system's focus on improving patient outcomes and surgical efficiency. In this regard, Olympus in May 2025 stated that it has launched the ScopeLocker Air, a new endoscope drying cabinet designed to improve reprocessing and infection prevention in healthcare facilities. The product is available in two sizes, and it can accommodate up to 18 endoscopes with options for powder-coated steel or stainless steel construction, hence suitable for market development.

APAC Market Insights

Asia Pacific unilateral biportal endoscopy market is considered to be the fastest-growing region from 2026 to 2035. The progress in the region is effectively catered to the increasing awareness of minimally invasive spinal surgery techniques and advancements in medical technologies. The region also benefits from rising investments in healthcare infrastructure that enables wider adoption of this procedure. Furthermore, the growing patient preference for less invasive treatments with faster recovery times is also propelling expansion across countries in this region.

China is emerging as the pivotal market of unilateral biportal endoscopy that is readily facilitated by the advancements in healthcare facilities and a growing number of skilled spine surgeons. In August 2022, Shenyang Shenda Endoscope Co., Ltd. launched its new 4K high-definition laparoscope that comprises an aspherical optical system for a wide viewing angle and distortion-free intraoperative imaging. Both the front and rear endoscope lenses are made of durable sapphire, ensuring resistance to high temperatures and plasma disinfection.

India also holds a strong position in the market, owing to the existence of hospitals and clinics that modernize their surgical capabilities and surgeons adopt exclusive surgery methods. In April 2025, FUJIFILM India notified that it had launched its advanced ELUXEO 8000 Therapeutic Endoscopy Solution at the 22nd MUMBAI LIVE Endoscopy event hosted by Sir HN Reliance Foundation Hospital. Equipped with innovations like ACI, TNR, and E-DRIP, the system delivers sharp, high-quality images with reduced noise.

Financial Assistance to Spinal Injuries Centers (ASIC Scheme) - List of Centers in India 2023

Source: DEPWD

Europe Market Insights

Europe market is retaining its position as the second largest revenue booster during the discussed time frame. The increasing adoption of minimally invasive spine surgery techniques is the key fueling factor in the region. In June 2023, PENTAX Medical Europe reported that it had launched the AquaTYPHOON, which is a brushless automated pre-cleaning device for endoscopes that eliminates the need for manual brushing or detergent. The product was developed with PlasmaBiotics, which uses pulsed water and air flow to thoroughly clean even non-brushable endoscope channels, hence suitable for market upliftment.

Germany is also continuously growing in the region’s unilateral biportal endoscopy market on account of its well-established healthcare system and strong emphasis on medical innovation. In 2023, joimax launched its new iLESSYS Biportal Interlaminar Endoscopic Surgical System at EUROSPINE 2023 and other major spine surgery forums worldwide. The company stated that the system features separate instrument and endoscope ports, a Triangulation Tool, specialized working tubes with irrigation control, and powerful surgical tools designed for biportal spinal endoscopy.

The U.K. in Europe’s unilateral biportal endoscopy market is projected to grow at a robust pace, effectively driven by rising awareness of the benefits and ongoing training programs. In July 2023, Penlon Limited notified that it had launched a new endoscopic accessories division in the country through a partnership with its own sister company called Vedkang Medical. Besides, this division will supply high-quality single-use accessories for gastrointestinal endoscopy procedures, including tools for endoscopic mucosal resection, endoscopic submucosal dissection, and other GI tract treatments, hence suitable for market development.

Projected Trends in Posterior Spinal Fusion Procedures in Germany for 2060

Source: NIH