Generally speaking, most patients with lumbar disc herniation can achieve relief through conservative treatment, which includes short-term bed rest, medication and physical therapy. Among the physical therapy, I think Chinese massage should be the first choice. If after 3 months of regular conservative treatment, you have not achieved the goal of relief, affecting your life and work, then consider taking surgical treatment. At present, there are more methods of surgical treatment, including the following categories: The first category is minimally invasive surgery. Containing many kinds, such as plasma fiber annuloplasty / disc cut suction / protease nucleus pulposus fusion / intervertebral foramenoscopy as well as discoscopy, etc., in addition to discoscopy has a certain effect, the other methods I do not promote, the surgical effect is not exact, the recurrence rate is high, and some of the methods of the surgical risk is also large, speculation is the concept. The second category is the conventional surgical method, i.e. open surgery. With the continuous improvement of spinal surgery technology, conventional surgery is also less and less traumatic, the general surgical incision is only about 3.5cm. Conventional surgery is simple and safe because it is performed under direct vision, with short operation time, thorough and clean removal. Overseas, it is often operated under microscope, which greatly increases the safety of the operation. The disadvantage is that the height of the intervertebral space is lost after the operation, and there will be a certain amount of chronic low back pain and recurrence. For patients with poor economic conditions, this type of surgery can be the first choice. The third category is lumbar fusion. Currently there is no consensus, I think for patients with better economic conditions, can consider taking this approach, applicable to patients with lumbar spondylolisthesis, young patients with lumbar disc herniation, lumbar disc herniation of manual laborers, heavy weight lumbar disc herniation patients, for some older, physical conditions are not very good, poor surgical tolerance is not very suitable for patients. The advantage of the surgery is that the intervertebral disc is removed more thoroughly and almost never recurs. The disadvantage is that the cost is high and the surgery is difficult, and it requires a doctor with a certain degree of experience to operate in order to achieve better results. At present, there are two main views on the treatment of lumbar disc herniation, one is to take step-by-step treatment, first minimally invasive, then open, and then fusion when it finally fails. Many patients, due to the advantages and disadvantages of surgery are not well understood, often focus on the immediate treatment, but ignore the long-term effect, so prefer to take minimally invasive treatment, the result is that the same disease repeated treatment, suffering; and the other is the direct ultimate treatment, the operation is larger, but the long-term effect is better. The specific treatment method is based on the patient’s condition, combined with the patient’s personal requirements, and the third is based on the competent doctor’s personal expertise in surgical methods. However, it is best for the patient to listen to the doctor’s advice in order to choose the treatment that suits him or her.