The management of lumbar disc herniation is considered by many spine surgeons to be very basic and simple, however, the issues associated with it, such as the timing of surgery, indications for surgery, and surgical approaches, are never controversial and never uniform. There are also many discussions, debates and inconclusive results during our clinical treatment. A study of lumbar disc herniation spanning 40 years in Maine, USA, did a follow-up study of patients with lumbar disc herniation in the surgical and non-surgical treatment groups for more than 10 years and concluded the following: 1. Compared to non-surgical treatment, surgery usually improves symptoms faster and to a greater extent; 2. Surgery is safe and has a lower incidence of complications; 3. Patients who initially have indications for surgery 3. Patients who initially have indications for surgery, but choose to undergo non-surgical treatment, can eventually achieve an acceptable level of improvement in pain and function; 4. Surgery does not improve the rate of return to work compared to non-surgical treatment; 5. Non-surgical treatment is also safe.