Subfascial drains have been employed across the surgical spectrum to encourage wound healing, minimize wound discharge, and reduce the risk of infection. This practice is especially common following spinal surgery, as many associate drain placements with prevention of postoperative hematoma and its neurological sequelae. Decisions about drain placement are based mainly on surgeon preference and not guided by scientific evidence. In a meta-analysis of 36 studies and 5, 464 patients, comparing closed suction drainage systems to no drains, Parker et al. reported that there is insufficient evidence from randomized clinical trials to support the routine use of closed suction drainage. Furthermore, many authors found no differences in wound infection, hematoma formation, and dehiscence rates between patients who received closed suction drains and those who did not. Similarly, in a meta-analysis for five studies analyzing closed suction wound drainage after lumbar spine surgery, Liu et al. demonstrated no significant reductions in the incidence rate of wound infections, hematoma formation, or reoperations associated with drain use.