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Preheat your oven to 400 degrees. Slice the spaghetti squash in half lengthwise and scoop out the seeds. Place on a baking sheet cut side up and roast for about an hour until the flesh is soft.
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Remove from oven and let cool, then use a fork to shred the squash.
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Squeeze the squash with clean hands over a colander in the sink to remove as much water as you can.
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In a large bowl, mix the shredded squash, flour, parmesan cheese, egg, garlic, salt and pepper in a large bowl.
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Heat the olive oil in a large skillet over medium heat.
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By 1/4 a cup, scoop the mixture into the hot skillet and flatted with a spatula. Fry until browned on each side, about 5-6 minutes per side.
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Let rest on a paper towel lined plate to drain.
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Top with sour cream and green onions.