Went in for spinal decompression twice and was cancelled twice because blood pressure spiked to over 230. normal is about 160/65. first time was in preop no anesthesia. the second time was given first dose of anesthesia in the op room. any ideas?

With a baseline blood pressure of 160/65, there is a good chance that you have high blood pressure and need medication to control it. (normal BP is less than 130/80). Talk to your regular Dr for a thorough evaluation and treatment plan. Once you have achieved good control, there is more of a chance that your surgeon will feel comfortable operating, and spikes will not occur.