Some patients are very afraid of lumbar disc herniation. One of the most common questions I get asked is: Do I have to get a nail for a herniated disc? My answer is: who said that lumbar disc herniation must be nailed? First, in accordance with the principle of relieving pain and minimizing trauma, the vast majority of lumbar herniated discs (about 95%) do not need to be nailed, and this patient can rest assured. Doctors nowadays have a very high level of medical technology, and various minimally invasive methods can be implemented to achieve the purpose of relief for simple lumbar disc herniation. Secondly, there are many reasons for lumbar and leg pain, not all lumbar and leg pain is lumbar disc herniation. There have to be more serious conditions such as lumbar spine slippage, lumbar spinal stenosis, lumbar degenerative scoliosis and so on. These conditions are not simply a matter of lumbar disc herniation; they have more serious pathologic changes than the former, and the treatment is certainly complex. It is these conditions that require decompression, fusion, and internal fixation surgery in most cases. CONCLUSION: The majority (more than 95%) of lumbar disc herniations do not require internal fixation surgery. Try not to have internal fixation if you have to treat it, and if your condition requires it, you should consider it carefully when your doctor recommends it. Under the premise of high trauma and high risk, after all, internal fixation surgery has the advantages of thorough treatment, real efficacy, long maintenance time, and not easy to recur.