With the continuous progress in the treatment of spinal diseases, minimally invasive surgery is now the development trend of surgical procedures. The internationally more advanced percutaneous endoscopic minimally invasive treatment of herniated discs has been pioneered in our department. This procedure can remove the herniated nucleus pulposus directly through the intervertebral foramen, with a tiny incision of 0.5CM to 0.7CM in the back and only one stitch after surgery, which is known as “keyhole”. The 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. The actual fact is that you can’t be a good candidate for surgery. Many patients with lumbar disc herniation are reluctant to undergo major surgery and want to opt for minimally invasive surgery, yet they do not know much about this procedure, and there are patients who have concerns about minimally invasive surgery. Am I a candidate for foraminoplasty? It should be said that most patients with clear nerve root symptoms and signs can undergo minimally invasive discoscopic surgery to remove the herniated disc and thereby relieve the nerve pressure (incision is only 0.7 cm) forcing the numbness and pain in the leg to disappear. Indications for surgery ① lower extremity radicular pain symptoms heavier than lumbar pain, positive straight leg raise test; ② clinical symptoms, signs and imaging are consistent; ③ sudden recurrence type of disc herniation; ④ regular non-surgery for more than 3 months is not effective or recurrent, but the patient cannot accept open surgery. Will the surgery be painful? Intervertebral foraminoscopy is done under local anesthesia, which is why it is characterized by low cost and quick recovery. It is normal for the patient to be slightly sore and swollen, and the patient is always awake during the operation and can communicate with the surgeon at any time. Is it true that lumbar surgery can be paralyzing? In fact, surgery has risks, but the chances of surgery risks are like winning the lottery. The whole procedure of intervertebral foraminoscopy is carried out under local anesthesia. Any time the patient has any discomfort, Director Wang Yansong will make adjustments according to the specific situation, and the whole process is safe. Is it impossible to move for a long time after the surgery? The charm of minimally invasive surgery lies in minimizing the damage to the patient on the basis of problem solving. Generally speaking, you can go down properly on the day after the surgery, and depending on the patient, you can be discharged after observing for a few days, and there is nothing wrong with it? Will there be a recurrence after the surgery? Medicine is a science, no doctor will pat his chest and swear that there is definitely no problem, because it is not in line with the normal evolution of the disease. Advertisements for cures and cures for all diseases will only appear on telephone poles. The possibility of recurrence exists in any kind of surgery, but the recurrence rate of herniated discs can be minimized by strictly following the doctor’s instructions after surgery and by paying more attention in the future work life. Does the incision still need special treatment? The incision is usually 0.7 cm long, and normally only one stitch is needed to close the incision, which will hardly affect the patient’s normal life. What do I need to be aware of after surgery? Generally speaking, we should pay attention to gradual progress when we move to the ground after surgery. Many people will experience postural hypotension when they move to the ground immediately after bed rest, causing dizziness or even fainting, so we should increase the amount of activities little by little and gradually transition to normal activities. Avoid bending and sitting for 3 weeks after surgery, because the healing of soft tissue needs time, this time is 3 weeks, sitting and bending will increase the weight of the waist affect the healing, we should adopt the principle of rather standing, lying or sitting, and avoid twisting the waist when turning in bed.