Among the patients with lumbar disc herniation, only about 10-20% of the symptomatic patients really need what is usually called “open” surgery. A small number of patients with recurrent episodes, ineffective non-surgical treatment, affecting life and work, or free-type prolapse, calcification, severe clinical symptoms, or obvious damage to the nerve substance (obvious muscle atrophy, muscle weakness), or damage to the cauda equina (difficulty in urinating and defecating or the feeling of wanting to urinate and defecate, and impotence symptoms in some male patients), as well as lumbar bony stenosis with a herniated disc should be opted for surgical treatment. Surgery should be chosen for those who have Ding Yongli, director of the Orthopedic Injury Diagnostic and Treatment Center of the First Affiliated Hospital of Henan College of Traditional Chinese Medicine, said that various minimally invasive surgeries are not suitable for this type of patients, and if you reluctantly choose to do minimally invasive surgeries, the risk of damage to the nerves or even paralysis will be greatly increased. The simple nucleus pulposus removal surgery is very traumatic, and the wound is only two centimeters or so. The risk of nerve damage or paralysis is generally quite low. Here I would like to emphasize with patients and friends is that the different severity of the herniated disc treatment principles are different, I have contact with many patients are afraid of surgery, which is common sense, but the real need for surgery patients must not be forced to massage and massage and other conservative treatments, delayed condition caused by permanent damage to the nerves regrets late!