In this procedural case review, vascular surgeon Dr. Samuel Steerman and neurosurgeon Dr. Shannon Clark collaborate to perform an anterior lumbar interbody fusion (ALIF). Dr. Steerman provides anterior spinal exposure while carefully mobilizing and protecting critical vascular structures, allowing Dr. Clark to safely access the lumbar spine and complete the fusion. The video includes pre- and postoperative imaging, key surgical steps, and insights into the multidisciplinary approach that helps optimize outcomes for patients requiring lumbar spine reconstruction.