Currently, with the advancement of spine surgery technology and medical devices, more and more minimally invasive spine techniques and minimally invasive spine surgery devices are being used for patients with spine disorders. In outpatient clinics, many patients with spinal disorders who need surgery will inquire whether they are suitable for minimally invasive surgery. So, which patients are suitable for minimally invasive surgery? Minimally invasive spine surgery has the advantages of less trauma, faster recovery and less hospitalization time compared to traditional open surgery. Therefore, minimally invasive spine surgery is also gradually accepted by spine surgeons and patients. The existing minimally invasive spine techniques include: foraminoscopy, discoscopy, MIS-TLIF, DLIF, OLIF, percutaneous screw internal fixation and percutaneous vertebral body kyphoplasty. The diseases that can be treated mainly include lumbar disc herniation, lumbar spinal stenosis, degenerative scoliosis, cervical spondylosis, spinal fractures including age-related osteoporotic compression fractures, spinal tuberculosis and biopsy of spinal tumors. In clinical practice most minimally invasive spine surgery is used for lumbar disc herniation, lumbar spinal stenosis, geriatric osteoporotic compression spine fractures and bruxism spine fractures. With advances in technology and equipment, minimally invasive surgery is now available for most herniated discs, and can be performed under local anesthesia with immediate postoperative perception of surgical efficacy. However, there is also the problem of recurrence. Because the minimally invasive removal of the disc is, after all, a relatively small portion of the entire disc, the majority of the remaining disc can still protrude and compress the nerve. Of course, many papers report that the overall outcome is still satisfactory. However, for patients with only low back pain or the presence of severe lumbar instability, foraminoscopic or discoscopic surgery is not recommended and minimally invasive spinal fusion surgery can be performed. In contrast, for spinal fractures, minimally invasive surgery can be performed in most patients with fractures. Elderly patients or patients with severe osteoporosis can undergo minimally invasive bone cement infusion and be on the floor the same day after surgery, while conventional spinal fractures can be fixed with percutaneous screws or combined with small incisions for decompression and fusion, which is significantly less invasive compared to traditional surgery. In general, the best and most minimally invasive treatment for patients with spinal disorders requiring surgery is the one that is right for them.