What is the most ideal choice for surgical treatment of lumbar disc herniation at this stage? With the development of the times and the progress of science and technology, a number of surgical methods and approaches are undergoing different degrees of change and are gradually developing towards high, precise and advanced technologies. People’s understanding changes with the development of the times. Due to the objective conditions, for quite a long period of time, people’s cognitive level is limited, and the optimal choice of surgical treatment for lumbar disc herniation after ineffective conservative treatment is also different. There was a time when MED was chosen as the best choice for lumbar disc herniation. When looking at this gold standard from the current point of view, it is not clear whether the choice is going to change or not; PELD is going to replace MED as the new best choice for lumbar disc herniation treatment. The advancement of science and technology, this advancement set the stage for the development of surgical techniques and conceptual changes. It has changed people’s understanding of surgical methods and made them realize that there are more advanced surgical methods available to them in addition to the traditional ones. Looking around the whole surgery, minimally invasive techniques are unfolding feverishly in various departments and are gradually playing the role of a leader. Orthopedics is no exception, and it is one of the fastest growing surgical disciplines. Spine surgery is one of the hotspots in orthopedics, and minimally invasive spine surgery is the hotspot of the hotspots. The advantages of minimally invasive spine surgery are local anesthesia, bleeding a few milliliters, no fasting and no urinary catheter, keeping awake during the operation, getting down to the ground immediately after the operation, and being discharged on the same day. The indications are broad and cover many of the open fusion procedures of the past, which is not enticing. The whole procedure can be compared to extracting a tooth in dentistry. This is where minimally invasive spine surgery techniques come into their own and thrive. Director of Arthroplasty Q: How to choose between minimally invasive and open surgical approaches for lumbar spine disorders? A: For the treatment of degenerative joint disease, arthroscopic treatment is chosen for early stage and joint replacement for advanced disease. Just degenerative joint disease to the extent of replacement patients are very many, while many patients with spinal disease do not need to go to the point of fusion.