Which patients can choose non-surgical methods to treat lumbar disc herniation? 1. Patients with the first attack and no obvious cauda equina symptoms. The pathological changes of lumbar disc herniation occur gradually, therefore, most patients with the first attack can be cured by non-surgical treatment. However, if the patient has obvious cauda equina nerve compression symptoms, such as urinary and fecal incontinence and significant loss of muscle strength in the lower limbs, then surgery should be considered. 2. Those with milder symptoms. In some patients, although the onset of symptoms is longer, the pathological changes are simple rupture of the fibrous ring or nucleus pulposus, or the nucleus pulposus has been protruding but not compressing the nerve root, most of these patients have better results with non-surgical methods. 3.Patients with poor general condition or other serious diseases. Some patients are old and frail, or suffering from serious diabetes, coronary heart disease, etc., the risk of surgery is greater, conservative treatment should be preferred. 4.Patients who have other contraindications to surgery or anesthesia. Which patients need to be treated with surgical methods for lumbar disc herniation? 1.Acute attack with obvious cauda equina symptoms. Patients with symptoms of cauda equina compression at the onset, such as urinary and fecal dysfunction, need urgent surgery to remove the disc. 2.The diagnosis is clear, and the long-term systemic conservative treatment is ineffective. Some patients should receive surgery if their symptoms do not improve significantly after regular systematic conservative treatment and the diagnosis is clear by CT or contrast examination. 3.Patients with recurrent symptoms. Some patients with significant symptoms, which are relieved by non-surgical treatment, should consider surgical treatment when they have another attack in less than 6 to 8 weeks, affecting normal work, study and life. 4.The condition develops gradually and the neurological symptoms are obvious. If the patient’s condition worsens, muscle strength weakens, nerve innervation area continues to be numb or even sags, signs of nerve damage appear on physical examination, and the nerve root compression condition matches the symptoms in combination with CT and imaging, early surgery should be performed. 5, lumbar disc herniation combined with other lumbar spine bony lesions, requiring surgical treatment or exploration.