Lumbar disc herniation (LDH) is the most common orthopedic condition that causes unbearable and persistent lower extremity or low back pain due to compression or irritation of the spinal nerve roots by the herniated disc tissue. Currently, as many as 500 or more patients are operated on at our hospital each year for lumbar disc herniation, and more than 10,000 patients are diagnosed with this disease on an outpatient basis. Traditional surgical methods include total laminectomy, hemi-laminectomy, and laminectomy with decompression and nucleus pulposus removal. However, traditional methods destroy the normal anatomical structure of the lumbar spine, cause great trauma, extensive muscle stripping, much bleeding, slow recovery, and are prone to nerve root scar adhesions, causing a series of complications such as lumbar instability, chronic lower back pain and recurrence of lumbar leg pain. Some patients with lumbar disc herniation undergo traumatic lumbar internal fixation fusion surgery, which inevitably causes accelerated degeneration of adjacent segmental discs in the future and may result in persistent, incurable postoperative lumbar failure syndrome. Due to the defects of traditional surgery, scholars at home and abroad have been searching for minimally invasive surgical methods to treat lumbar disc herniation for many years. Percutaneous Endoscopic Lumbar Discectomy (PELD) is the core technique of minimally invasive total endoscopic spine surgery. Modern PELD surgery can provide orthopedic surgeons with a clear view of the anatomical structure of the spine and can help them analyze the pathological causes of back and leg pain. With the continuous improvement and development of surgical instruments, as well as the clinical application of advanced surgical equipment such as microscopic power, radiofrequency, laser and navigation, the PELD technique has been revolutionized. At present, the technique can complete all types of lumbar disc herniation, prolapse and direct surgical removal of free nucleus pulposus tissue, can perform spinal canal enlargement and foraminal enlargement and foraminoplasty, and can complete percutaneous lumbar spine fusion. This procedure has become the most promising minimally invasive spine technique in the world today. Over the years, Prof. Fu Qin, Director of Orthopaedic Surgery, has been advocating the development of minimally invasive spine surgery, actively introducing advanced equipment and training personnel who can fully grasp minimally invasive spine technology. With the support of the hospital leadership and Director Fu Qin, we have performed a series of minimally invasive spine surgeries, such as percutaneous vertebroplasty (PVP), percutaneous kyphoplasty (PKP), percutaneous transperineal tumor pathology removal, percutaneous pedicle screw fixation, Wiltse access (transmuscular space) pedicle screw fixation, minimally invasive access lumbar spine fusion (MISS-TLIF ), unilateral access lumbar fusion, unilateral access total spinal decompression, and non-fusion surgical techniques for the cervical and lumbar spine, such as artificial disc replacement, have all achieved excellent results. Director Fu Qin aims at the next target: percutaneous endoscopic lumbar disc removal with spine. The offensive battle was about to be fought. Within a 2-week period from January 17, 2015 to February 2, 2015, under the guidance of Director Fu Qin and operated by Associate Professor Liuda himself, four patients with severe lumbar disc herniation were treated in our hospital using percutaneous spinal endoscopic technology first. The new technique was fully supported by the anesthesiology department and the nursing team in the operating room. The operator, anesthesiologist and nurses worked closely together and the operation went smoothly throughout. The fourth case was operated with complete local anesthesia, which allowed the operator to communicate with the patient during the operation and keep track of the patient’s pain relief. Immediate postoperative physical examinations, including straight leg raising test, neurological examination and visual pain simulation score, were performed and all achieved very satisfactory results. The performance of these four spinal endoscopic procedures signifies that our hospital has been able to apply this most promising minimally invasive technology to the widest patient population, and also fully demonstrates the leading position of our orthopedic spine minimally invasive technology in the country. Developed countries in Europe, the United States and Southeast Asia have replaced traditional lumbar disc removal with spinal endoscopic surgery. The skin incision is only 7mm, the size of a soybean grain, and the intraoperative bleeding is less than 5ml. Only one stitch or no stitch is needed after surgery, and the patient can be discharged on the same day of surgery, which is the least traumatic, least tissues disturbing, most effective and fastest recovery treatment method of its kind. This technique has a short operation time, high safety, precise efficacy and broad application prospect. Minimally invasive is the medical concept that human beings dream of, and it is also the most simple desire of the people. The concept of minimally invasive has been deeply rooted in people’s hearts, who need small damage, fast recovery, less cost and good results. Minimally invasive is not only minimally invasive to the body, but also minimally invasive to the mind, and minimally invasive to the body and mind is people-oriented.