If rehabilitation and painkillers do not alleviate the pain, it may be necessary to insert an implant between the spinous processes. The implant increases the distance between the spinous processes, reducing pain resulting from mechanical tissue irritation. Qualification for surgery is performed by a surgeon on the basis of a clinical examination and assessment of X-rays and other imaging tests. Sometimes the pain may result from multiple pathologies present in the course of degenerative disease of the spine, therefore it is very important to carefully diagnose and plan the appropriate treatment.