Lumbar disc herniation is an important cause of low back pain and one of the difficult-to-treat diseases. Non-operative treatment is the first choice for the majority of patients with this disease, but there are still many shortcomings or blind spots in the understanding about the correct selection and application of non-operative treatment for lumbar disc herniation, which affects the improvement of clinical efficacy and the development of the whole discipline. Therefore, paying attention to the importance of non-operative treatment, actively standardizing the basic procedures of non-operative treatment and carrying out in-depth and systematic clinical research are feasible ways to further improve the medical level and academic status of this field. 1. Active Active is mainly about the awareness and attitude of both doctors and patients, especially the treating doctors should actively explain the disease and popularize the science, guide and help patients to gradually establish a correct view of the disease and self-confidence to obtain recovery, in order to strive for the active cooperation of patients. However, in the context of today’s complex market economy, we have reason to suspect that some units or medical practitioners have a positive attitude toward nonsurgical treatment, because the phenomenon of preoperative end of formal nonsurgical treatment is still very common. Some medical institutions even focus on surgical treatment, and some patients are spared only because they refuse surgery or because of financial problems, and even then, non-surgical treatment in most cases is actually just a perfunctory and coping formality. The reasons for the negative attitude of many physicians toward non-operative treatment are complex, mainly due to the insufficient understanding of the important status and clinical significance of non-operative treatment, and the one-sided view that such treatment is long, slow and ineffective. We believe that the importance of non-operative treatment comes first from the importance of the intervertebral disc. Since 87% of postoperative lumbar disc cases have symptoms of lumbar instability and 91% have X-ray signs of lumbar instability, it can be seen that even degenerated and herniated discs have a very important clinical significance. Therefore, direct surgery without aggressive non-operative treatment for the first or multiple episodes is considered a contraindication to surgery. It is in the sense of “active” that all targeted therapies for lumbar disc herniation, as opposed to open surgery or interventional therapy, should be collectively referred to as “non-operative therapy” rather than “conservative therapy “. In addition, as a relatively independent mainstream discipline, non-surgical treatment should not be regarded as a transition, accompaniment or supplement to the perioperative period, but should actively assume the tasks and responsibilities that correspond to the dominant position, and actively explore new effective therapies on the basis of constantly summarizing and improving the clinical efficacy of existing non-surgical therapies, and through continuous efforts to come out of a dominant path suitable for its own independent development. 2.Regularity Regularity mainly refers to regular treatment plan, regular treatment and regular professional staff. Firstly, formal non-surgical treatment should be based on a clear diagnosis, and the treatment process should be clear in its objectives, well planned, progressive, sequential and adjusted at the right time. Then, the practitioner of non-surgical treatment should be a professional who is interested in the clinical and research of the disease, with certain practical experience and skills, and can carry out treatment according to the treatment standard. In essence, the overall goal of non-operative treatment for lumbar disc herniation is to relieve the patient’s pain symptoms and restore lumbar spine function as soon as possible, and to take corresponding therapeutic measures with this goal in mind, but the pathway of its action is multi-path, not only focusing on the reset and return of the herniated nucleus pulposus. In addition, because the patient’s condition and clinical symptoms are complex and variable, and the urgency and clinical manifestations of the condition vary greatly from patient to patient and even from one patient to another, clinical treatment should be based on a clear diagnosis and specific condition of each patient, and a variety of targeted treatment measures should be applied flexibly. Therefore, formal non-surgical treatment should also focus on individualized treatment principles and programs. Because of the variability and complexity of lumbar disc herniation, it may be difficult to achieve the goal of recovery from the disease with one treatment measure, so careful planning is necessary. In addition, formal treatment in the broadest sense includes a positive attitude and adequate treatment time.