There are many cases of lumbar disc herniation that must be operated on. Generally speaking, the symptoms are very severe: 1. painful walking and not being able to walk 500 meters. 2. Numbness in the urinary and fecal areas, weakness and incontinence. 3, lower limb pain, numbness is very serious. 4, the back of the foot, toes can not be lifted. The appearance of any of the above symptoms, it lights up the red light, pulling the red line tight, it is dangerous. Find a regular doctor immediately!!! Other cases, such as general leg pain, lumbar pain, numbness is not necessarily an emergency treatment, pain, although it is an uncomfortable feeling, but will not die. A herniated disc can also very, very rarely appear paralyzed. In short, when the symptoms seriously affect work and life, surgery is necessary. Many patients are afraid of surgery and are fooled by various treatment methods, which end up with poor results. My experience concludes that no one can really hide from a patient with a herniated disc in the lumbar spine when the doctor has gone through a strict gatekeeping process and determined that surgery should be performed. After a number of hours, surgery is eventually required. Not only do you have to endure half a day for nothing, but the difficulties increase when you actually operate (e.g., the appearance of calcification), adding a lot of trouble for the doctor, or a new and worse condition. I wonder if it is possible to make a jingle so that people remember these red lines? The conditions that necessitate surgery are: very painful, numb and immobile, and unable to walk with a bowel obstruction. If it is determined that surgery is needed, what kind of surgery should be done? This has to be determined by certain discussion with the doctor. Whether or not minimally invasive can be done is also not determined by the doctor alone. My attitude is to lay out the pros and cons of each procedure so that the patient knows very much before making a choice.