An endoscopic pedicle probe has an elongate body with a proximal end and a distal end. A tip on the distal end is pushed into the pedicle to form the hole, and an enlarged head on the proximal end enables a surgeon to manipulate the probe. The body has an inner shaft with a cylindrical sleeve telescopically engaged over it. An endoscope extends through a longitudinal bore in the shaft, with a camera at the tip end connected with a monitor to enable a surgeon to visually observe the area being treated. A light extends through another bore to illuminate the area, and a further bore conducts irrigation fluid to and from the area. The sleeve is made of electrically non-conductive material and the shaft and tip are made of electrically conductive material to enable stimulation of nerves at the treatment area.