Lumbar spinal stenosis is poorly treated with minimally invasive surgery and is not usually the first choice. Lumbar spinal stenosis is mostly caused by a combination of multiple factors such as lumbar disc herniation, hypertrophy of the ligamentum flavum, and osteophytes. Some of the lesions that lead to lumbar spinal stenosis cannot be removed and resolved by minimally invasive surgery, such as osteophytes and hypertrophy of the ligamentum flavum, which lead to lumbar stenosis, and symptoms caused by lumbar spinal stenosis cannot be relieved. Minimally invasive surgery can treat simple lumbar disc herniation by removing the protruding disc tissue and relieving nerve compression, thus improving clinical symptoms. In contrast, open surgery is usually recommended for lumbar spinal stenosis to obtain satisfactory results. When lumbar spinal stenosis occurs, you should choose a regular hospital for consultation, timely treatment and choose the appropriate treatment method.