OBJECTIVES While widely perceived as a successful procedure, discectomy surgery has a high failure rate over time. The overall risk of recurrent disc herniation varies between 2-18% in reported literature. The Barricaid® anular closure device was designed as an adjunct to lumbar limited microdiscectomy to block large anular defects while maintaining as much native nucleus within the disc space. Patients that are considered for anular closure have a minimum posterior disc height of 5mm, and an intra-operatively measured anular defect between 5mm and 12mm wide. The aim of this study was determined as to assess the cost effectiveness of the use of Barricaid® in this group of patients in Turkey. METHODS A simple decision analysis model was used to assess the cost effectiveness of the use of Barricaid®. The primary clinical endpoint was determined as the number of prevented reherniations. According to the literature, the use of Barricaid® reduced the number of reherniations by 18%. Resource utilization data were obtained via expert clinical opinion and included pre-op, post-op and follow-up costs, etc. Unit costs were taken from the Social Security Institution’s official price list. Results were presented as incremental cost/number of prevented reherniations. The comparison was made between using and not using the Barricaid®. RESULTS According to the results of the cost effectiveness analysis , the incremental number of prevented reherniation was 4.398 with Barricaid® and incremental cost was 119.343.000 TL.  The ICER was within the limits of the threshold recommended by the World Health Organization with 27.136 TL. CONCLUSIONS Use of Barriciad® in lumbar discectomy surgery is a cost-effective treatment option in Turkey.