Cervical decompression with fixation surgery is a highly efficacious surgical procedure for the management of various neck-related disorders that result in discomfort and neurological symptoms. The procedure involves the excision of damaged or herniated discs, bone edges, or other structures that compress spinal nerves, followed by the fusion of adjacent vertebrae for spinal stabilization. The current article comprehensively reviews the process of cervical decompression with fixation surgery, including indications for use and expected outcomes.