Spinal bulge surgery is like repairing a house; after the repair, it is also quite important to have regular checkups to assess the stability and function of the house. In particular, spondylolisthesis can be a lifelong condition that requires lifelong review follow-up and attention. However, many times parents feel that because their child is able to control bowel movements and walk and run, there is no need for ongoing attention. In fact, as the child grows, the spine changes and the shape and position of the spinal cord changes, especially if the child has a combined lipoma, long-term post-operative follow-up is necessary because it is impossible to remove 100% of the lipoma. Generally, a review is required three months after surgery, and based on this review, the next review will be scheduled. If the recovery is good, the review can be done once at six months and once at one year. The first review three months after surgery will include an interview on the motor function of the lower extremities, measurement of bladder residual urine volume by urinary tract ultrasound, a urodynamic test, and an MRI. If you want to check your child’s lower extremity motor function more precisely, you can also have an electromyogram, but this test is invasive and parents should be prepared for it. Since appointments need to be made and queued for the review of these tests, there is no guarantee that the test will be scheduled on the same day, and it is usually a 2-day or even 3- to 5-day wait. If a review at three months reveals poor recovery or even deterioration, such as dysfunctional urination and severe urinary retention, hospitalization for clean catheterization is required. The time interval for the next review should be shortened. If urinary reflux is still severe, you should be referred to the urology department for further treatment. It is generally recommended to insist on review until adolescence, when the child’s height is basically fixed and the position of the spinal cone will not change much, so the chance of recurrence will be much lower. However, many parents stop reviewing their children when they are 7 or 8 years old and have no more symptoms, and most go to the hospital only when the disease recurs. However, parents should not be too anxious. Overall, the chances of recurrence after spinal bulge surgery are relatively small. However, if the skin or muscle layer at the lesion is too thin, or if the surgical repair is not done properly, or if the improper position causes the wound to open or the intracranial pressure to rise, the cerebrospinal fluid will break through the repaired spinal canal, muscle and other tissues, causing the contents to bulge again. At this point, parents can see that the skin in the area has re-expanded, especially if the lesion in the lumbosacral area recurs, and the fissure that occurs will be larger than the original, and there is a possibility of local adhesions. Once this happens, another surgery is required. The re-operation should be performed at least three months apart from the previous operation, and the operation will be more difficult and risky. This article is an original work and may not be reproduced without authorization.