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 is characterized by the direct removal of the herniated nucleus pulposus through the intervertebral foramen, with a tiny 0.5CM to 0.7CM incision in the back and only one stitch after surgery, which can be considered as leaving no scar, and 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. Other patients have already had foraminoplasty but are not sure how to take care of themselves after the surgery. Is my condition suitable for foraminoplasty? It should be noted that most patients can have minimally invasive discoscopic surgery to remove the herniated disc and thereby relieve nerve pressure (the incision is only 0.7 cm) forcing the numbness and pain in the leg to disappear. What if I can’t do it? Can it be minimally invasive? There is no need to be anxious. Minimally invasive surgery of the spine is not limited to foraminoscopy, but for some patients we can also do it through a small incision in the patient’s back. We also have discoscopy, which is a slightly larger incision than foraminoscopy, but is also minimally invasive and has a very short recovery time, with patients being able to get out of bed in 2-3 days after surgery. Does it hurt to have the surgery? The foraminoscopy technique is done under local anesthesia, which is why it is less costly and has a faster recovery. It is normal for the patient to be slightly sore and swollen during the operation. The patient is always awake and can communicate with the surgeon at any time. I heard that lumbar surgery can be paralyzing, is it true? This is a good question. In fact, all surgeries have risks, but the chances of surgical risks are just like when we win the lottery. The whole procedure is performed under local anesthesia. Any time the patient is uncomfortable, the doctor 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 beauty of minimally invasive surgery is that it solves the problem on the basis of minimizing damage to the patient. Generally speaking, you can rest in bed on the day after surgery, and you can go down to the ground the next day, observe for two days, and then you can leave the hospital if there is nothing wrong. Will there be any recurrence after the surgery? This is also a very good question. Medicine is a science, no doctor will pat his chest and swear that there is no problem for sure, why? 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. Any kind of disc nucleus pulposus removal has the possibility of recurrence after surgery, but the recurrence rate of disc herniation can be minimized by strictly following the doctor’s instructions after surgery and 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 1 stitch is needed to remove the suture after 2 weeks. What do I need to take care of after the surgery? Generally speaking, patients need to rest in bed on the day after surgery and can move around the next day if everything is stable. Many people may experience postural hypotension after bed rest, which may cause dizziness or even fainting, so it is important to 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 tissues needs time, this time is 3 weeks, sitting and bending will increase the weight of the waist to affect the healing, we should adopt the principle of rather standing, lying or sitting, and avoid twisting the waist when turning over in bed.