Spine surgery is considered to be one of the fastest growing areas of orthopaedics today. Various estimates have placed the world market for spine implants at US$ 1.5 billion in the year 2002 with estimated growth rates ranging from 12 to 15% annually. The Sushrut-Adler group, which has been entrenched in the spine market since the early 1990’s is admirably positioned to make strong international gains in this area. The group's journey in spine surgery started in 1989 when Dr. Arthur Steffee authorized the company to produce his VSP spine system in India. With over ten years of experience with spine products residing in the group, Adler took the next step 1998 with the development of the Zeta Spine System for Posterior/Anterior surgery, closely followed by the introduction of the Titan range of surgical mesh cages for spine surgery. Extensive interaction with high volume users also enabled Adler to develop top of the line instrumentation that is highly valued by spine surgeons for its performance and ease of handling. While being an Indian pioneer, Adler continues its foray into international spine markets while continuing to work on exciting new developments involving metals and composites for new solutions in spine surgery.