Recently, a close relative developed this problem of lumbar disc herniation, and after reading his MRI examination, he was considered to have an indication for surgery, and his relatives were scared to hear this, and many of their friends have asked similar questions. It is that many people have low back pain, and the examination also shows a herniated lumbar disc, so what kind of herniated lumbar disc needs surgery? A herniated lumbar disc is a common cause of chronic back and leg pain. Most patients with lumbar disc herniation can be treated conservatively, which patients need surgery? The following are the symptoms that require surgery: ① three months of symptoms, conservative treatment is ineffective; or conservative treatment is effective, but frequent recurrence and heavy pain; ② the first episode of severe pain, the symptoms of the lower extremities are obvious, the patient is difficult to move and sleep, in a forced position; some patients can only take the kneeling position; ③ combined with the expression of the cauda equina nerve compression; such as numbness in the perineal region, urinary and fecal incontinence, decreased sexual function, etc.; ④ the presence of a single nerve root paralysis, manifested as muscle atrophy of the lower limbs, limp limp, numbness; ⑤ large disc herniation, resulting in spinal stenosis, manifested as the patient can only walk 100-200 meters at a time that need to stop to rest 5-10 minutes, called intermittent claudication. After the appearance of these symptoms, it is necessary to consider whether surgery to solve the problem.