Spinal meningiomas are typically slow growing, benign lesions with the potential to cause significant morbidity if untreated. Their incidence is approximately 3 per 100,000 and they are more common in women than in men. Surgical resection has a relatively low complication rate and the potential for very favorable outcomes. Surgery remains the mainstay of treatment with radiation reserved for those who cannot tolerate the procedure or for recurrent disease. We describe the epidemiology, presentation, and treatment options for spinal meningiomas here as well as provide an example case.