There is a difference in the principle of action and indications between the small-needle knife therapy and ozone ablation for the treatment of lumbar disc herniation, and the clinical selection should be based on the patient’s specific condition, and there is no such thing as which one is better. Through effective needle manipulation, lumbar spine adhesion can be separated and local blood circulation can be promoted, thus eliminating inflammatory reactions, improving symptoms and reducing pain. It is suitable for elderly and frail patients who cannot be treated conservatively or whose conservative treatment is not effective. Ozone ablation is a minimally invasive treatment. Ozone is a strong oxidizing agent with strong oxidizing power, which can produce lipid peroxides, etc., thus relieving the patient’s back pain and alleviating the patient’s symptoms. Ozone ablation can be used for both mild and severe lumbar disc herniation. If you are suffering from lumbar disc herniation and need to be treated with either the knife or ozone ablation, you should go to the hospital in time and choose the appropriate treatment under the guidance of your doctor.