Old Wu was always healthy and never took medicine or injections. Six months ago, he suddenly developed low back pain and the pain reached his right calf. The pain was so severe that he could not sleep well and could not work. As soon as he heard that there was a good way to treat herniated disc, he rushed over to see, before and after eating a lot of Chinese medicine, also played acupuncture, small acupuncture, etc. are not obvious. To the big hospital to find the spine surgery experts to see after suggesting that he surgery, do intervertebral fusion internal fixation, once you hear the surgery Lao Wu involuntarily beat a retreat. But the pain made him keep looking for the “magic pill”, and he was introduced to Dr. Weibo Pan of our hospital. After examining the patient, Dr. Pan Weibo thought that the patient’s diagnosis of lumbar 5 sacral 1 disc herniation was clear, and after half a year of conservative treatment, the back and leg pain was still obvious, so in order to quickly relieve the patient’s pain, it was necessary to surgically remove the nucleus pulposus tissue pressing the nerve root of sacral 1 of Lao Wu. Upon hearing the surgery, Wu started to frown again. Dr. Pan Weibo gave Wu a detailed introduction of what a herniated disc is, and that conservative treatment for a period of time is ineffective and requires surgery to remove the nucleus pulposus tissue that causes pressure in order to eradicate the symptoms, get rid of the recurrent back and leg pain, and avoid further damage to nerve function. The traditional open incision for removal of the nucleus pulposus is generally at least 5cm, and epidural anesthesia or general anesthesia must be used, which may damage the nerves and affect the efficacy of the procedure. The most important thing is the interference with the posterior structures of the spine, such as stripping the paravertebral muscles, chiseling away part of the lamina and articular processes, and thus the possibility of higher postoperative back pain, which often requires six months to a year of recovery. There is an old saying in the traditional open spine surgery community that “preoperative leg pain, postoperative back pain” is caused by the destruction of the posterior spinal structures. The minimally invasive foraminoscopic spine technique is a well-established and mature technique, developed by the renowned German spine surgeon Thomas Hoogland. Hoogland and others, who performed more than a thousand successful procedures before beginning to introduce it worldwide, is a light-equipped tube that enters the foramen from the side or back of the patient’s body and performs the procedure in a safe working triangle. The procedure is done outside the disc’s fibrous annulus, and the herniated nucleus pulposus, nerve roots, dural sac and hyperplastic bone tissue can be clearly seen under direct endoscopic vision. The herniated tissue is then removed using various types of grasping forceps, the bone is removed microscopically, and the broken fibrous annulus is repaired with radiofrequency electrodes. The surgical trauma is small: the skin incision is only 7mm, like the size of a soybean grain, bleeding is less than 20ml, and only 1 stitch after surgery. It is the most advanced minimally invasive treatment for disc herniation in the world, with the least trauma and the best results among similar surgeries. It has the following main advantages: the patient only needs local anesthesia, not general anesthesia. The surgery is performed while the patient is fully awake. The patient’s reaction can be detected at any time during the surgery and the surgeon can be alerted once the nerve root is touched, thus avoiding possible accidental injury to the nerve root under general anesthesia. The surgical site is reached through a small percutaneous incision, minimizing the risk of infection during and after surgery. Unlike microsurgical techniques, the foraminal approach does not require partial removal of the intervertebral ligaments (ligamentum flavum), conus or intervertebral joints (conus laminectomy) in order to locate and remove the herniated or prolapsed nucleus pulposus. It also does not require severance of the trunk muscles, increasing postoperative stability and reducing wound healing pain. Less bone tissue is injured, reducing blood leakage and scar formation in the nerve root area. Recovery from surgery is quick, and patients can leave the hospital one day after surgery. Patients can return to work and ensure a high quality of life as soon as possible. The unique design of the cannula and surgical instruments allows for the discovery and protection of the nerve roots, protection of the epidural and perineural venous system, prevention of venous stasis and chronic neuroedema. In addition, it can reduce perineural and epidural scar formation. After listening to Dr. Pan Weibo’s introduction, Lao Wu gradually understood the many advantages of minimally invasive intervertebral foramoscopy, and he finally decided to receive the most advanced minimally invasive treatment in his hometown after he was still thinking of going to Shanghai. After making various preparations, early in the morning of October 21, Dr. Pan Weibo personally performed the minimally invasive intervertebral foraminoscopic surgery on Lao Wu, and saw a large piece of protruding nucleus pulposus tissue pressing on the sacral nerve. After carefully stopping the bleeding and cleaning up some residual nucleus pulposus, the operation was successfully finished with one stitch. After returning to the ward, Wu started to walk after lying in bed for 2 hours, and his wife was happy to see her partner resume normal walking again. Old Wu walked again and again to confirm the effect of surgery, happy to thumbs up and said “I really do not know that there is such a good treatment of herniated disc in Taizhou master ah! . The next day, Wu walked out of the hospital door happily and kept saying, “I’ll go back and call all my friends with herniated discs!” .