Intradiscal electrothermal therapy (IDET) produced variable results in the pain reduction and functional improvement in patients with axial discogenic pain (1,2). The new annuloplasty procedure named intradiscal biacuplasty (IB) utilizes two radiofrequency electrodes placed on the opposite posterolateral sides of the treated annulus. Reported here is a pilot study on 13 patients who received IB and were followed for 6 months thereafter. The inclusion and exclusion criteria were as listed before (3). Following provocative discography patients underwent IB. There were significant improvements of all of the indices (SF-36, Oswestry, VAS pain scores and opioid use) at the first follow-up (1 month). Those improvements were maintained throughout six months of follow-up. At 6 months after IB, patient's median pain scores measured by Visual Analog Scale (VAS) decreased from 7 to 3 (p<0.001). Functional capacity significantly improved with Oswestry scores median decrease from 25 to 18 (p=0.002), and SF-36 PF median increase from 55 to 70 (p=0.014). Median SF-36 BP score increased from 35 to 58 (p=0.012). Median opioid use expressed in morphine sulphate mg equivalents decreased from 40 to 5 mg (p=0.014). There were no significant differences in any of the indices from first to sixth month after IB. There were 8 of 13 patients who's VAS pain scores decreased by 3 or more points. There were no complications perioperatively or during follow-up. It appears that IB is an effective procedure to treat chronic discogenic pain. Improvement in pain scores and functional capacity can be observed much earlier than with IDET (at 1 month after IB vs 2-3 months after IDET;1,3) suggesting some additional or/and different mechanisms of action. It also appears to be more effective than IDET producing more than 50% of the pain relief in more than 50% of patients.