Small needle knife belongs to the combination of acupuncture and surgery treatment method, which can directly cut the adhesive tissue and scars in the affected area, and has the effect of releasing the spasm of the affected area and so on. Small needle knife treatment of lumbar disc herniation localization is accurate, short-term treatment effect is obvious, but long-term application of the possibility of recurrence, limited to mild cases. The severity of lumbar disc herniation varies, such as the existence of obvious local structural disorders, relying solely on small knife treatment can not achieve satisfactory results, we need to take comprehensive treatment methods according to the patient’s specific condition after consultation. Elderly and frail people who apply the small needle knife treatment may have the phenomenon of fainting or even defecation, so it is not suitable for this treatment. People suffering from blood disease, mental disease, skin disease or localized broken bones, bone fracture, diabetes, high blood pressure, tumors, infectious diseases should not use this therapy. As the small needle knife is an invasive operation, it may cause infection, damage to blood vessels and nerves and other risks, and improper operation may aggravate the condition. Therefore, when there is a herniated lumbar disc, it is recommended to go to a regular tertiary hospital in time. According to the individual’s specific situation, under the guidance of the doctor to choose the appropriate treatment method.