The treatment of lumbar 5 sacral 1 disc herniation to the back is determined by the patient’s symptoms and MRI. If there is lumbar 5 sacral 1 disc herniation on CT and MRI, and there is mild lumbar pain without numbness, pain in the lower limbs or bowel obstruction, the patient can be treated conservatively, with early traction, oral medication and physical therapy, which can effectively relieve the lumbar pain, and some of the patients can be cured. If the CT and MRI show more serious lumbar 5 sacral 1 disc herniation backward, clinically there is numbness and pain in the lower limbs, nerve root compression symptoms, or there is cauda equina compression leading to dyspareunia. At this time, early bed rest, conservative treatment, if conservative treatment has relief, do not consider surgery, if the effect of conservative treatment is not good or the symptoms continue to aggravate, then we should consider surgical treatment.