Administered in a prone position, this procedure is a two-stage process. In the first stage, an electrode is placed in the patient's epidural space through the lower back. Communication with the patient is crucial during the procedure. The applied stimulus from the electrode should be felt by the patient in the painful area of the body. Once the location of the stimulus is confirmed, the free end of the electrode is brought out of the skin and connected to a stimulator. For about 10 days, attempts are made to mask the patient's pain by delivering stimuli to the painful area using this device. If, after this period, the patient believes the procedure is beneficial, in the second stage, the electrode connected to the portable stimulator is attached to a permanent spinal cord stimulator, and the device is implanted under the skin, cutting off its external connection. In this way, it becomes a system implanted in the body that continuously delivers stimuli but can have its settings changed externally with a remote control.

This procedure is performed in an operating room under monitored vital functions, with sedation, and using imaging assistance through a fluoroscope.