In the clinic, a common question I hear is, “Doctor, look at my j-cervical (or lumbar) spine films, do I have to have surgery? I don’t want to have surgery.” Answer: I. The results of the imaging examination are not the only basis for deciding whether or not to operate. Whether a patient with cervical spondylosis or lumbar disc herniation is treated surgically depends largely on the patient’s clinical performance, including the patient’s subjective symptoms, and the objective physical examination conducted by the doctor on the patient. Gu Xin, Department of Rehabilitation Medicine, Beijing Hospital Second, whether to operate or not depends on the indication for surgery, that is, whether there is a need and urgency for surgery. From the medical point of view, whether to operate or not does not depend on the individual’s will, and this answer is somewhat impersonal, so the doctor needs to explain clearly to the patient patiently and meticulously.