Most patients with lumbar disc herniation can be cured with regular conservative treatment, such as medication, massage, physical therapy and heat application. Only about 5% of patients generally require surgery. Patients who need conservative treatment: (1) have mild symptoms, can improve significantly after rest, have less impact on life and work, and the disease can last for a long time with intermittent attacks. Disc herniation is found on spinal canalography or CT or MRI, but the compression is not severe. (2) The first or multiple episodes, although the pain is severe, can be quickly improved by conservative treatment. The presence of disc herniation is found by spinal canal imaging or CT, MRI, etc., with central bulging or paracentral protrusion, with compression of nerves. (3) For those who are too old, have many comorbidities, poor general condition, or combined with contraindications to anesthesia. (4) Patients with unexplained low back pain, although the symptoms are severe, but no disc herniation is detected by CT or MRI. The above patients should choose the appropriate treatment method under the guidance of the doctor and according to the specific conditions of the patient. Patients requiring surgical treatment: (1) Patients with severe low back pain that affects normal life and work, with CT or MRI images clearly showing lumbar disc herniation, and who have been ineffective for more than 3 months with regular non-surgical treatment, may undergo elective surgery. (2) Those who develop or have developed severe lumbar pain in a short period of time, accompanied by muscle paralysis of lower limbs, sensory loss and cauda equina nerve dysfunction (such as perineal area sensory loss and urinary and fecal dysfunction, etc.); CT or MRI images show severe central disc herniation, or ruptured nucleus pulposus prolapsing into the spinal canal, which has caused extensive compression of nerve roots or cauda equina nerve, should be operated as early as possible or even in an emergency. (3) If there is intermittent claudication, X-ray, CT or MRI images show spinal stenosis, which cannot be improved by conservative therapy, surgery should be performed for a limited period of time. The above patients should choose the appropriate surgical procedure under the guidance of doctors in regular large hospitals. You should not blindly believe in other people’s words to avoid being fooled and delaying the disease.