Lumbar disc herniation in the elderly also has its own characteristics. Due to the degeneration of the lumbar spine, the elderly can have varying degrees of thickening of the ligamentum flavum, hypertrophy of the articular synovial joint, sometimes there is also a vertebral body posterior edge bone superfluous, often accompanied by degenerative spinal stenosis. The diagnosis of lumbar disc herniation in the elderly should also be operated early, because the elderly are often accompanied by degenerative spinal stenosis, where the nerve root space is narrow, there is no room for compensation, once the compression, the nerve root lack of blood supply is more serious, surgery is delayed, easily lead to incomplete recovery of nerve function. If surgical treatment is performed, the simple vertebral plate is opened and the nucleus pulposus is often not removed enough. It has been reported that 2% of the cases of lumbar disc herniation reoperation are due to inadequate decompression of the nerve root canal, and this is mostly in elderly patients. Therefore, for lumbar disc herniation in elderly patients, adequate decompression should be performed and hemi- or total laminectomy should be performed. In general, because of the significant bone growth and aging and calcification of the ligaments in the elderly, stability is not significantly affected. If there is a combination of lumbar instability such as lumbar spondylolisthesis right before surgery, internal fixation and giving spinal fusion is required.