Patient: When do patients with lumbar disc herniation need surgical treatment? Zhang Jie, Department of Anesthesiology, The Second People’s Hospital of Xinxiang City: First of all, you need to clarify the diagnosis, and then consider the treatment! The description of your condition is too simple~have you done any examination and treatment before? Is the leg pain accompanied by any numbness? According to the symptoms you provided, lumbar spine lesions can be considered, it is best to find a doctor to check to see the site of lumbago and leg pain, the degree of pain, accompanied by symptoms, muscle strength and nerve reflexes of the changes. If necessary, do a lumbar spine CT or MRI, whether there is disc herniation, calcification and spinal canal stenosis, and to what extent, and the relationship to the spinal cord and nerve roots. After a clear diagnosis, the treatment will be better targeted! I wish you a speedy recovery! Patient: Thank you, doctor, your reply is very comprehensive, my father is back pain driven right leg knee pain, but not bedridden. We will do the examination as soon as possible, by the way, my father a few years ago lumbar injury. Patient: If the examination is a herniated disc, is it necessary to do surgery Zhang Jie, Department of Anesthesiology, Xinxiang Second People’s Hospital: 80% of patients with lumbar disc herniation do not need surgical treatment. But in the following cases, patients need surgery. 1. Accompanied by neurological defecation and urination disorders. For this kind of cases, surgery should be handled as soon as possible without too much delay. 2. After a long period of strict non-surgical treatment, the symptoms are not relieved, which seriously affects the work and life. 3. Acute trauma-induced lumbar disc herniation with filling defects confirmed by imaging and severe nerve compression symptoms. 4. Symptoms are obvious, conservative treatment is ineffective, and filling defects formed by bone spurs or nucleus pulposus detachment are confirmed by imaging. 5. Patients with severe symptoms, long course of the disease, frequent attacks after non-surgical treatment, and patients who are unwilling to accept non-surgical treatment due to long-term back and leg pain.