This book is intended for spine surgeons whether they are orthopedic or neurosurgeons, for the residents, and post graduate students. It contains several chapters, covering almost all aspect of ethical conduct, starting from history, and ending in ethics committee, written in a simple, clear, and understanding language, hopefully, this book will provide key opportunities to improve not only patient care, but also spine surgery as a field of specialty. Moreover, provide guidance to avoid the pressure of the companies to drive the outcome of surgery and research to their benefit.