Spinal manipulation under anaesthesia is a procedure intended for patients who suffer from musculoskeletal disorders in conjunction with biomechanical dysfunction. This title presents the manipulation under anaesthesia (MUA) procedure from a historical perspective to present day use. It is a compilation of information that is used as both a reference and as an educational aid for doctors. It contains information on the history, scientific use and logistics for use in hospitals. It discusses justification for the procedure from both a clinical and patient management standpoint.