A 20-year-old young netizen asked, he had low back pain, to the local hospital to check the lumbar spine CT see lumbar 4-sacral 1 intervertebral disc herniation, had traction treatment, at present there is no discomfort symptoms, is the need for surgical treatment? First of all, it is important to know that there are many kinds of low back pain causes, such as lumbar muscle sprains, small joint misalignment, muscle strain, inflammation, tuberculosis or tumors. It is important to remember that a herniated disc without symptoms does not need to be treated. Herniated discs, please note the word “disc” here. With “symptoms” means that there are clinical signs and symptoms. If there is no “symptom”, but only a herniated disc on the CT or MR image, and the degree of herniation on the image is bulging, protruding, prolapsing, or free, there is no need for treatment at this time, and prevention can be done. It should be clear that we are treating the patient, not treating the picture, lumbar disc herniation is not equal to lumbar disc herniation. Lumbar disc herniation is often characterized by low back pain and leg pain. Lower back pain is discogenic, while leg pain is mostly caused by compression of the corresponding herniated nerve roots or irritation by inflammatory factors. In fact, the manifestations of disc herniation include the following three major categories: coexisting low back and leg pain, predominantly low back pain with mild or absent leg pain, and predominantly leg pain with mild or absent low back pain. About 90% of patients with lumbar disc herniation do not need surgical treatment. Conservative treatment is preferred, and more than 80% to 90% of patients can relieve symptoms and even resume work without surgery. The most important part of conservative treatment is bed rest, supplemented by physical therapy, many patients can be cured without medicine. For those with severe pain, analgesic and anti-inflammatory drugs, neurotrophic drugs, and traditional Chinese medicines for activating blood circulation and removing blood stasis can be used on the basis of bed rest and physical therapy. Only when the pain is severe and the above treatments are ineffective can hormones and dehydrating agents be used. Surgery can be considered when conservative treatment is ineffective for more than half a year.