modern scoliosis surgery under the conditions of the german drgsystem in the german health system the payment of a hospital stay is standardised the common basis is the gdrg system german diagnosisrelated groups in which every stay is paid by a lump sum scoliosis correction in our times means pedicle screwbased multilevel double rod instrumentation or anterior platerod instrumentation with primary stability the outcome of those methods has improved the results of correction and decreased the complication rate but also means high costs due to the implants scoliosis correction is covered by drg i06 due to constant efforts a general improvement took place in the assessment of drg i06 that is the reason why the losses incurred in drg i06c could be lowered to 38 and in i06d to 22 in 2008 for an appropriate assessment further improvements are required