Minimally invasive treatment of lumbar disc herniation is not only a fad, but also a trend for future development. There are two natural accesses (intervertebral foramen and intervertebral plate foramen) into the location of the herniated lumbar disc, allowing minimally invasive instruments to enter and perform the relevant operations to complete the removal of the herniated disc and decompression of the nerve tissue, thus improving the clinical symptoms of the patient. This is what God left for us when He created man. For young people, the anticipated need for lumbar spine mobility is great, and preserving as much as possible the mobility of the patient’s lumbar spine is something we must consider while relieving the patient’s pain. Maximum functional improvement at minimal cost is the goal of a good surgeon and the greatest appeal of the patient. Therefore, for young people, minimally invasive, never open major surgery. For the elderly, traditional open surgery is undoubtedly a difficult trade-off when balancing increased surgical risk and surgical access, and many patients even have to give up treatment as the final choice. Minimally invasive treatment offers another alternate option. Minimally invasive treatment, because of its small trauma, short operation time and quick postoperative recovery, has given hope back to many elderly patients who previously had to give up surgical treatment or patients with more other underlying diseases. Many elderly patients, hypertensive patients, patients with poor renal function, diabetic patients, etc. have been treated effectively again. With the advancement of tools and technology, minimally invasive surgery in spine surgery has continued to open up frontiers, and many spinal conditions can be said to be “untouched”. Traditionally, minimally invasive surgery was largely limited to herniated discs, and lumbar spinal stenosis was one of the off-limits areas for minimally invasive surgery, but today, many patients with lumbar spinal stenosis can be improved through minimally invasive surgery. Accurate preoperative diagnosis, precise intraoperative surgical techniques, and a refined postoperative rehabilitation program are the key components to achieve good clinical results. Whether minimally invasive surgery or traditional open surgery, they are all technical means to serve patients, and we cannot replace the whole thing with a partial one, and we cannot see the mountain with a blind eye. As doctors, we must understand the advantages and disadvantages of various technical means in order to develop the best surgical plan for patients and thus obtain the best clinical results. As patients, we cannot be minimally invasive for the sake of being minimally invasive. We do not have the professional knowledge, and we should listen to the advice and recommendations of doctors with relevant professional knowledge.