The difference between minimally invasive and open lumbar disc herniation mainly lies in several aspects such as different indications, different operation methods, different injuries and different costs. 1. Different indications: minimally invasive surgery is suitable for patients with simple lumbar disc herniation and mild nerve compression symptoms, while for serious lumbar spine lesions such as lumbar spondylolisthesis, spinal stenosis, and lumbar isthmic fracture, minimally invasive surgery is ineffective and open surgery is needed. 2. Different operation methods: minimally invasive surgery is mainly carried out under spinal endoscopy, only perforating the skin surface and completing the surgery through the cavity mirror, while open surgery is the traditional incision surgery, with a large incision, but with a large surgical field of vision and operation range, which can be used to carry out complex surgical operations. 3. Different injuries: minimally invasive surgery for lumbar disc herniation is relatively less harmful, with less trauma, less bleeding and faster healing, while traditional surgery is relatively more traumatic, with more bleeding, and the probability of infection is relatively higher than minimally invasive surgery. 4. Consumption is different: minimally invasive lumbar disc herniation surgery needs to use more facilities and equipment, the cost is relatively more expensive. The price of open surgery is relatively lower. The choice of lumbar disc herniation surgery needs to be determined according to the condition and personal situation, it is recommended to actively cooperate with the doctor, comprehensive assessment of the condition to determine the treatment plan.