You will use this most in spinal surgery for removing bone tissue during procedures like discectomy or posterior decompression, where controlled and precise bone removal is needed around the vertebrae. It is also common in head and facial surgeries and orthopedic trauma cases. For laminectomy procedures specifically, Kerrison rongeurs are typically the standard choice, while square-tipped rongeurs are preferred where a broader, more controlled bite on exposed bone is required.