Whether or not surgery is needed for lumbar disc herniation, the key is not to see how big the herniation is, but mainly to see the degree of your symptoms, the effect of conservative treatment, the seriousness of the impact on life, the degree of herniation on the tablets is only to provide a reference. Lumbar disc herniation should first choose conservative treatment, but if one of the following conditions occurs, surgical treatment should be considered: 1, pain is serious, affecting sleep; pain is serious, after a period of time of conservative treatment may be able to be cured, but let the patient in this extremely serious pain in the suffering, is tantamount to the patient’s very inhumane destruction and torment; Moreover, the effect of conservative treatment is still an unknown quantity. Moreover, the effect of conservative treatment is still an unknown quantity, instead of this, it is better to choose the surgical treatment with clearer effect as early as possible. 2, after a period of conservative treatment, not cured, the symptoms have not disappeared; Conservative treatment time limit should be different from person to person, the textbook stipulates that it is 3 months, and now the general clinical control in about 1 month. After all, early surgery, you can get out of the misery as soon as possible, resume normal study and work as soon as possible, and enjoy a good life as soon as possible. Moreover, surgical treatment is not easy to recur, why wait for a future that may not be fruitful? All the textbooks stipulate the time limit of 3 months for conservative treatment, considering that there is no cure after 3 months of conservative treatment, and it may be hopeless to continue conservative treatment; moreover, it is difficult to restore the function of nerve compression for a long period of time. 3, with lower limb muscle atrophy, foot drop, urinary and faecal dysfunction; the occurrence of these cases means that a very serious nerve dysfunction has occurred, and the compression of the nerve should be lifted as soon as possible or quickly, otherwise, it is difficult to effectively recover the nerve function, or even impossible to recover. Conservative treatment is obviously unable to achieve this purpose. Clinically, when the patient is found to have the above situation, emergency surgery should be performed. 4. For patients with recurrent symptoms, according to the degree and frequency of their attacks, surgery can be considered during the reoccurrence of the attacks; For patients with recurrent symptoms, although each time the symptoms can be made to disappear through conservative treatment for a period of time. However, after a period of time, the symptoms will recur again due to the patient’s exposure to cold, exertion, cumulative strain, and so on. The real experience of these patients themselves shows that the conservative treatment they used did not prevent recurrence. Therefore, when another attack occurs, timely surgical treatment can not only quickly make the symptoms disappear and the disease cured, but also effectively prevent recurrence. Although surgical treatment also has a certain recurrence rate, the chance of such recurrence is after all much lower than the recurrence rate of conservative treatment. In addition, if the MRI reveals a large image of a herniated disc, consider that the fibrous annulus of the disc may have ruptured and the nucleus pulposus tissue of the disc has prolapsed into the spinal canal. In this case, the effect of conservative treatment is also relatively poor, if the onset of the disease, after a short period of conservative treatment if the effect is not good, should also be early and active surgical treatment.