Lumbar disc herniation is a common disease and a multi-morbidity, a disease that affects the work and life of middle-aged and elderly people and some young people, there are many kinds of treatments for lumbar disc herniation. Is surgery necessary when you have a lumbar disc herniation? Should we choose minimally invasive surgery or open surgery? These questions have always been a problem for patients and their families. There are many ways to treat lumbar disc herniation depending on the type of herniation, but in general, the vast majority of patients do not need surgery, including minimally invasive surgery. The central part of the intervertebral disc is the nucleus pulposus, which is a jelly-like viscoelastic material that can move under pressure, and is surrounded by a ring of dense annular fibers called the fibrous ring, which surrounds the nucleus pulposus and prevents it from moving around and protruding. When the water content of the nucleus pulposus decreases, the peristaltic function of the nucleus pulposus decreases, so that the weight-bearing effect of the nucleus pulposus decreases when it is subjected to external force or when it is in a bent position for a long time, so that the external force can easily act on the fibrous ring, and the fibrous ring can easily be damaged and become weak, and the nucleus pulposus can easily expand and protrude from the weak point of the fibrous ring when the external force acts. The blood supply of the fibrous ring is very little, and it is very difficult to heal and recover after the injury, therefore, it is also very difficult to fully recover to the level before the protrusion after the protrusion of the lumbar disc. If there is no direct compression of the nerve root and cauda equina nerve, most patients show recurrent lumbar pain, lumbago and lumbar distension, numbness and pain in the lower limbs, but most of these symptoms are not severe, so conservative treatment can be taken for this type of patients, and surgery is not needed. If the herniated disc has obvious pressure on the spinal canal and nerves or the nucleus pulposus has ruptured and prolapsed into the spinal canal, these patients need surgery, and of course the symptoms are relatively serious for this group of patients. So, what kinds of herniated discs can be treated with minimally invasive treatment and which ones require open surgery? For most patients with herniated discs, minimally invasive methods can be used. Minimally invasive surgical methods are commonly used: foraminoscopic nucleus pulposus removal, access nucleus pulposus removal, and access decompression and percutaneous screw fixation fusion. However, no matter which surgical method is used, the patient’s specific condition must be selected according to the patient’s specific condition, regardless of which method is the best for different patients, there is no best only the most suitable, so if you suffer from lumbar disc herniation must go to a professional hospital and professional spine surgeon, so that the doctor according to your specific condition to choose the right treatment plan for you.