Lumbar disc herniation is a thundering name that is known to almost everyone. Whenever people feel pain or numbness in their legs, the first thing they think of is, “Do I have a herniated disc?” “Do I need surgery?” These two questions are definitely the first thing that a large percentage of patients consider. Is lumbar herniation really that terrible? First of all, let’s briefly understand what is lumbar disc herniation? Is a lumbar disc herniation really that terrible? A lumbar disc herniation is a degenerative change in the vertebral body or a rupture of the annulus fibrosus and protrusion of the nucleus pulposus caused by an external force. This phenomenon can be clearly detected by imaging. The compression of the nerve and the extrusion of the spinal canal by the herniated lumbar disc, resulting in a series of symptoms such as pain and numbness in the lower limbs, is called lumbar disc herniation “disease”, and the two have a close causal relationship. However, lumbar disc herniation ≠ lumbar disc herniation! That is to say, even if the imaging examination confirmed the diagnosis of lumbar disc herniation, they do not feel any discomfort, such as the symptoms of radioactive pain and numbness in the lower limbs, we do not need to pay too much attention to it, we only need to pay more attention to the exercise and relaxation of the lumbar muscles, avoid the attack of wind and cold and heavy physical work such as lifting, carrying and moving, it will not cause further or aggravation of the symptoms. However, even if there is a lumbar disc herniation, is surgery really necessary? In fact, there is absolutely no need to be so nervous, lumbar herniation is not that terrible. After appropriate examination, professional doctor’s diagnosis and treatment with massage, physiotherapy and pain injections, most of the patients’ symptoms can be relieved or disappeared, and they can return to normal life if they cooperate with relevant exercises and prevention. When do we need to consider “surgery” treatment? For those who have been treated strictly conservatively for more than half a year, or those who have recurrent attacks with severe pain, or those who have their first attack with severe pain that seriously affects their normal life, or those who have numbness in the saddle area (perineum), uncontrolled urination and defecation, and weakness in walking of the lower limbs, etc., surgery can be considered. For surgical treatment, don’t be afraid, don’t be mythical, and don’t follow blindly.