Patients are always asking their doctors, “How can I treat my lumbar disc herniation, it’s killing me.” Today, let’s talk about what kind of patients need surgical treatment and whether surgical treatment can be minimally invasive. I have a lumbar disc herniation, so do I have to have surgery? Depending on the pathophysiology and anatomical process of the lesion, the symptoms of lumbar disc herniation have different effects on the organism and its regression, and this determines the choice of treatment method. In principle, non-surgical treatment should be used as a starting point. But it should be clear that any surgery is the last resort for the disease, so there are indications for surgery. Recognize the indications for surgery for classical lumbar disc herniation: 1. diagnosed lumbar disc herniation for more than six months, ineffective after non-surgical treatment, and often recurrent and increasing pain symptoms; 2. first violent attack of lumbar disc herniation, especially those with lower extremity symptoms, the patient has difficulty moving and sleeping due to pain 3. single nerve palsy or cauda equina nerve palsy, manifested as muscle paralysis or defecation and urination disorders; 4. middle-aged patients who have had the disease for a long time, affecting work and life; 5. atypical medical history, but confirmed by reliable examination with CT or MRI or imaging that the disc has obvious compression on the nerve or dural sac; 6. disc herniation and lumbar spinal stenosis. Please clarify the above 6, if you do not meet all of them, congratulations, then conservative treatment! I definitely need surgery. Is there a minimally invasive method? With the continuous progress in the treatment of spinal disorders, minimally invasive surgery is now the trend of surgical procedures. The more advanced international technology of minimally invasive percutaneous endoscopic treatment of herniated discs has been pioneered in our department. This procedure is characterized by the direct removal of the herniated nucleus pulposus through the intervertebral foramen. The advantages of intervertebral foramina: 1. Small incision: 0.5CM to 0.7CM tiny incision on the back, only one stitch after surgery, can be considered as no scar, known as the “keyhole”; 2. 4. Short hospitalization time: in general, patients can get out of bed properly 2 hours after surgery, eat immediately, and be discharged from the hospital in 3-5 days, and basically resume normal life after a week, and the cost of cutting is relatively lower; 5. Minimally invasive surgery vision is clear, coupled with the use of bipolar radiofrequency and other advanced hemostatic equipment, bleeding is extremely small. Surgical treatment of lumbar disc herniation is a very effective measure. However, there are many patients who are afraid of surgery and are unwilling to accept this treatment, and there are many patients who believe that surgery is a method of last resort. They think that surgery is a last resort. If they can tolerate it, they can delay it, they can take medication without injections, they can take injections without surgery, and only when their condition can no longer be delayed do they reluctantly accept surgery. In fact, with the development of science and technology, surgical instruments, surgical methods and many other aspects have been greatly improved, surgical treatment is becoming safer and less traumatic, so the degree of pain is also reduced accordingly. Patients who are afraid of surgery should be relieved of their fears and should undergo surgery if they need it, that is, if they meet the indications for surgical treatment.