1, most of the patients with lumbar disc herniation can be cured after regular conservative treatment, generally only about 20% of the patients need surgical treatment, the following cases of patients should not take surgical treatment. (1) The symptoms of lumbar disc herniation are mild, and can be obviously improved after resting. Although the disease process can last for a long time, it has less impact on life and work and can be easily cured. (2) Those who have the first or multiple episodes of lumbar disc herniation, but the pain is not very severe and has not been treated conservatively. For those who have the first attack, surgery is not suitable except that the patients have obvious symptoms of cauda equina damage (i.e., weakened lower limb muscle strength or even paralysis, corresponding sensory impairment and sensory abnormalities such as numbness and allergy, incontinence of urine, urinary obstruction and other symptoms). (3) Patients whose systemic or local conditions are not suitable for surgery, such as older age, poor physical condition, or lumbar intervertebral disc herniation combined with extensive myofasciitis, rheumatism and other symptoms. (4) Patients who have not been clearly diagnosed, such as patients who are clinically suspected of lumbar intervertebral disc herniation, the symptoms are not very typical, and no disc herniation has been found by vertebral angiography or CT, MRI, etc., which can be observed and treated at the same time, and is not suitable for surgical treatment. (5) Patients with combined cardiovascular and cerebrovascular lesions or diabetes mellitus, or patients with contraindications to anesthesia, should not be treated surgically. Of course, but the above situation is not absolute, should be based on the patient’s specific situation, under the guidance of the doctor, choose the appropriate treatment. 2.Indications for surgery: (1)Those who have severe symptoms that affect their life and work and are ineffective after 6 months of regular non-surgical treatment; or those who have severe symptoms and cannot accept non-surgical treatments such as traction and massage. (2) Those with extensive muscle paralysis, hyperalgesia and cauda equina damage (such as hyperalgesia in the saddle area and dysfunction of urinary and fecal functions), and those with complete or partial paraplegia. These patients are mostly central type herniation, or the fractured nucleus pulposus of the annulus fibrosus is detached into the spinal canal, forming a wide range of compression on the nerve root and the cauda equina, and should be operated as soon as possible. (3) Patients with severe intermittent claudication, mostly with spinal stenosis at the same time, or X-ray and CT images show spinal stenosis, non-surgical treatment can not be effective, it is advisable to early surgical treatment. (4) For those who are combined with lumbar isthmus nonunion and spondylolisthesis, it is advisable to surgically remove the diseased nucleus pulposus tissue, and at the same time, perform bone graft fusion between the opposite side of the vertebral plate and spinous process. (5) For young and middle-aged patients with recurrent episodes, the indications for surgery can be appropriately relaxed in order to enable them to recover their labor capacity as soon as possible. The indications for surgery for elderly and frail patients should be strictly controlled.