Selected patients undergoing lumbar spine surgery in Rajshahi Medical College Hospital and some clinics within Rajshahi city, Bangladesh, were given balanced Anaesthesia as well as General Anaesthesia. The procedure will be thoroughly explained, and the findings will be presented. This research looks at patients who were admitted and operated on between July 1, 2019, and December 31, 2020. At that time, we conducted a prospective study of all of the patients who were operated on in the hospital. Case notes were gathered and analyzed. The demographics, specifics of the process, and short-term outcomes were all recoded into a database. A total of 82 patients underwent lumbar spine surgery. 34 patients underwent one-level lumbar spine decompression, 22 patients underwent two-level decompression, 06 patients underwent spinal tumor surgery, 14 patients underwent cauda equina syndrome (CES) due to spinal stenosis, and 06 patients underwent lumbar listhesis with fixation. There were no significant anesthetic or surgical complications in any of the patients after surgery. Minor problems including vomiting, hypotension, restlessness, and so on can occur and be treated. Lumbar spine surgery can be safely conducted under balanced Anaesthesia, as shown by the fact that post-operative analgesia was sustained for more than 4 hours after surgery. For patients undergoing lumbar decompression surgery, balanced Anaesthesia is a viable option with possible benefits. In our experience, patients accepted the operations well, and the short-term result was also satisfactory.