We describe our protocol and outcomes of awake robotic minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) under spinal anesthesia. We conducted a prospective study of 10 consecutive patients undergoing awake robotic single-level MIS-TLIF with the Mazor X robot. We prospectively collected patient-reported outcomes (back and leg pain VAS, and Oswestry Disability Index) pre-operatively, at the 1-month, and 1-year follow-up, and assessed fusion and screw placement accuracy with the 1-year CT scan. Median age was 61 years (IQR=57.7-66); median BMI 27kg/m2. No intraoperative complications reported. 9/10 patients were discharged home, 50% discharged on the day of surgery. Median length of stay was 16.5h (IQR=5-35.5); median follow-up 12.5 months (IQR=12-13.5), with 9 patients having at least 12-month follow-up, with CT scans documenting good screw placement (Gertzbein-Robbins Grade A) and solid bony fusion. Median pre-op back pain VAS was 7.8 (IQR=6.9-8) versus 1.5 (IQR=0-3.2) at 1-month post-op, p<0.01, and 0 (IQR=0-1) at 1-year follow-up, p<0.01; median preop leg pain 8 (IQR=7.4-8) versus 0 (IQR=0-1.2) at 1-month post-op, p<0.01, and 0 (IQR=0-2) at 1-year follow-up, p<0.01; median preop ODI 47.5 (IQR=27.8-57.5) versus 4 (IQR=0-16) at 1-month post-op, p<0.01, and 0 (IQR=0-7) at 1-year follow-up, p<0.01. Median preoperative disc high of the index level 8mm (IQR=2.4-9.5), versus 11.4mm (IQR=9.2-11.2) postoperatively, p< 0.01. Median preoperative lordosis of the index level 5 degrees (IQR=3.4-8.5), versus 10.1 degrees (7.3-12.2) postoperatively, p< 0.01. Our study showed significant improvement in PROs at 1-month and 1-year follow-up after awake robotic MIS-TLIF, as well as solid bony fusion on CT scans.