Lumbar spinal stenosis has become one of the most disabling pathologies in the elderly population. Some additional conditions such as foraminal stenosis or degenerative spondylosis with a history of back pain and leg pain must be considered before treatment. A completely appropriate protocol and unified management of spinal stenosis have not yet been well defined. The objective of this literature review is to provide evidence-based recommendations reflected in the highestquality clinical literature available to address key clinical questions surrounding the management of degenerative lumbar spinal stenosis.