An apparatus and methods for enhanced percutaneous epidural access for performing spine surgery epidural procedures and medical device placement that includes a first percutaneous needle having a first lumen a proximal end and a distal end wherein the distal end is configured for placement in an epidural space at a first location the first location being at least one level removed from a target lamina a second percutaneous needle having a second lumen a proximal end and a distal end.
