Lumbar intervertebral disc herniation is a polyvalent disease, with patients aged 18-55 years old more frequent, patients older than 55 years old are mostly lumbar intervertebral disc degeneration, fibrosis and thickening, resulting in symptoms of sciatic nerve pain mainly, the protruding gap to the lumbar vertebrae 4-5 gap and lumbar vertebrae 5-sacral vertebrae 1 gap as the most frequent. There are many treatment methods for lumbar disc herniation, and the most traditional ones are traction, massage, and orthopedic methods, which are less and less accepted due to their limited efficacy, cumbersome treatment, and slow onset of effect. Surgical resection has become the mainstream method of treating lumbar disc herniation. Due to the authority of orthopedic departments in major hospitals, people are convinced that surgery is the best treatment method, but the risks faced by surgery are sometimes much greater than the patient’s clinical symptoms, and the current discectomy + implant fusion + pedicle plate fixation has added another step to the risks of surgery, which include the risks of anesthesia, the risk of bleeding, the risk of nerve These risks include anesthesia risk, bleeding risk, nerve damage risk, fixation breakage risk, and the second surgery risk of fixation removal. In this way, since a small lumbar herniated disc has to go through such a complicated and high-risk surgical procedure, the above mentioned surgical treatments should be chosen only as a last resort. The recent rapid development of medicine, especially minimally invasive medicine, has partly replaced surgical treatment completely. For the treatment of lumbar disc herniation, minimally invasive radiofrequency ablation of the disc, minimally invasive chemolysis of the disc, laser decompression of the disc and so on, has been a very mature technology, which can make most of the patients exempted from the operation, avoiding the risk of surgery, and the long-term cure rate is even higher than that of surgery, minimally invasive treatment. Minimally invasive treatment of herniated disc is far less risky than surgical treatment. So how to choose a more appropriate treatment for patients with lumbar disc herniation? According to the patient’s symptoms and imaging performance, if the symptoms are mild, no matter how serious the imaging performance is, don’t have surgical treatment, and should be based on conservative treatment, including physical therapy, closure, nerve block treatment, etc.; if the symptoms are more serious, and the imaging shows less serious herniation, minimally invasive treatment is the main; and if the symptoms are more serious, and the imaging shows that the herniation is relatively huge, and even the appearance of large and small dysfunctions or motor nerves are impaired, surgical treatment can be chosen. If the symptoms are more serious, the image shows that the herniation is huge, and even there is size dysfunction or motor nerve damage, surgical treatment can be chosen, but the author still suggests simple surgical treatment, and if there is lumbar instability or slipped vertebrae, then disc removal + arch fixation should be chosen.