A case is transferred from Clove Garden to give an indication of what open surgery and fusion surgery are for emergency surgery, such as the dire consequences of not having surgery. Case provider-sengkent_ng Patient female, 38 years old, complained of diaphoretic incontinence for 5 months. Lumbar MR showed a prolapsed lumbar disc at L5/S1. She needed to be supported by family members to walk slowly and improved slightly after traction was performed. The patient complained that in January this year, he had back pain on the day after mopping the floor at home, and actively sought hospital treatment, and then gradually became incontinent. After the patient became incontinent, many doctors suggested surgery, but the patient refused surgery because he was infertile and missed the best time for surgery. Now the patient has been incontinent for 6 months, is surgery still possible? As a spine surgeon, it is heartbreaking to see such results. I see overtreatment on one side and delayed treatment on the other in my clinical practice. In the case of lumbar spine disease, if such a patient is not treated promptly in an emergency setting? What kind of patients still need emergency surgery? Please note to all patients: a lumbar disc herniation with poor bowel control or numbness in the perineal area is an indication for emergency surgery, and surgery should be sought within 6 hours, and even then, emergency surgery may not yet yield good results. If treatment is delayed, you will have to suffer the consequences yourself. The absence of fertility is not a reason to refuse surgical treatment, and there is no evidence in clinical work of any effect of internal fixation on fertility. What are the consequences of cauda equina injury? Incontinence and sexual dysfunction! The consequence is that the patient may have to live with a urine bag for the rest of his life. Is it a horrible surgery? Or is it terrible to carry a urine bag? Painful? As a doctor, it is painful to see such a case!