The vast majority of patients with lumbar disc herniation can be relieved or cured by non-surgical treatment, but a very small number of patients still require surgery. There are two opposite misconceptions about surgery: 1. Blind surgery, believing that only surgery can eradicate it, and thus surgical treatment without choice. This not only increases the unnecessary economic burden, but also increases the chance of “lumbar spine surgery failure syndrome”. For example, a construction boss, back and leg pain for one month, lumbar spine CT found three herniated discs, asked the doctor to operate on the herniated discs, the postoperative effect is not good. He was operated again, still not good, and developed a failed surgery syndrome, leaving weakness in both feet, limping, and incontinence. In fact, this patient could be treated completely conservatively, both clinically curable and without serious complications. In fact, the indications for surgery for lumbar disc herniation are very strict, and surgery is not the first choice. 2. It is the rejection of surgery that amplifies the negative effects such as nerve damage caused by surgery and considers surgery as a firm no-no. For example, an internist suffering from lumbar disc herniation had developed foot drop (foot dragging) still refused to operate until one day he became incontinent, and then he was operated in an emergency. However, because the nerve compression was too long, the foot-dragging gait remained after the surgery, although the bowel function was restored. It should be said that a small number of patients must be treated surgically, and the sooner the better, otherwise the loss of nerve function may become permanent. Therefore, surgery and conservatism should be treated discriminately, and neither surgery nor conservatism should be taken lightly. The general principle of lumbar disc herniation is: if you can be conservative, do not intervene; if you can intervene, do not operate; if you must operate, operate as early as possible.