For patients with lumbar disc herniation, many patients ask the question of whether their current condition requires surgery. Whether or not surgery is needed is something that patients can right themselves. The symptoms caused by lumbar disc herniation itself can cause a decrease in quality of life, and whether or not surgery depends on the effectiveness of conservative treatment and the degree of quality of life required by the patient himself. The most serious complications of lumbar disc herniation are cauda equina syndrome and foot drop, i.e. urinary and faecal dysfunction, inability to lift the foot, and heavy compression, which is not relieved by hormonal dehydration treatment, and should be treated with surgery as soon as possible when this happens. Once this condition occurs, it indicates that the nerve damage is more serious and the longer it takes, the more difficult it is to recover. Surgery is only to release the nerve compression and provide the possibility of recovery of nerve function. In other words, if the patient himself can tolerate long-term indwelling urinary catheters and diapers, he will not be operated. Clinically, no cases of complete paralysis of the lower limbs due to lumbar disc herniation have been encountered, and in severe cases, there is usually partial loss of function. 2, lumbar intervertebral disc herniation patients to seek a solution to the most important symptoms are low back pain, sciatica, X-ray, MRI film suggests that there is a lumbar disc herniation, at this time faced with the problem of how to treat, see a lot of hospitals treatment sometimes differ, which caused the patient’s distress, how is the correct treatment? Does it require surgery? What a spine surgeon should do in this treatment process is to clarify whether the pain that the patient is currently seeking to resolve is caused by a lumbar disc herniation. Lumbar disc herniation is not a panacea, it is just a common disease, not all sciatica is caused by lumbar disc herniation and needs to be differentiated from other diseases. When the diagnosis of lumbar disc herniation is clearly established, it is generally treated with symptomatic conservative treatment, which differs slightly from hospital to hospital, but there is no major difference in the overall treatment, which is nothing but rest, traction and physiotherapy, lumbar and back exercises during the remission period, pain medication during the acute period, hormone dehydration medication, etc. These treatments are to improve the symptoms and cannot return or remove the herniated disc, so lumbar disc herniation can recur, and the frequency of attacks depends on the patient’s The frequency of attacks is determined by the patient’s lifestyle, degree of protection, and severity of the disease. In this tip, do not easily try massage therapy, may be the neighborhood rumors have massage good, but every year there are cases of massage caused by the occurrence of urinary and fecal dysfunction or aggravation of symptoms of lumbar and leg pain to consult, the consequences are more serious, there is no evidence of medical evidence that massage can return or remove the herniated disc. (1) Clinically, there are very few cases where conservative treatment is ineffective for more than 4-6 weeks, and if conservative treatment is ineffective for that long, surgery should really be considered. (2) Most of them are recurrent cases, and each time they are relieved after conservative treatment, the decision of whether surgery is needed at this time is not in the hands of the doctor, but in the hands of the patient. If the attacks are infrequent, the pain medication is effective and there are no serious side effects, and the patient can tolerate such a state of life and is afraid of the risk of surgical complications, then the patient can choose to continue conservative treatment forever. If the patient has a high demand for quality of life due to work and study, surgery should be considered to relieve the nerve compression, and the choice of surgery should be agreed with the spine surgeon, there are advantages and disadvantages. I think the patients themselves know it best. Finally, I wish such patients can get standard treatment, early recovery and their own satisfaction!