In severe cases of lumbar disc herniation, even to the point of lumbar disc prolapse, I’m afraid that conservative treatment is no longer relevant, and surgical treatment is the only way to correct this more serious condition. Ordinary lumbar traction, lying on a hard bed, and dehydration treatments are not able to solve the herniated discs and the symptoms after herniation, and only through surgery can the herniated discs be completely removed. There are generally two types of surgery: the first is minimally invasive treatment, and the mainstream minimally invasive treatment nowadays is intervertebral foraminoscopy. Since foraminoscopy does not affect the stability of the lumbar spine, has little damage, small wounds, and is fast, this treatment can be done as long as there are no contraindications to foraminoscopy surgery. In the second type, if there is no way to do foramenoscopy treatment, you can only do incisional interspinous disc removal, but due to the destruction of lumbar spine stability, it usually requires internal fixation with pedicle root nails.