Recently, a patient who suffered from lumbar disc herniation causing severe back pain and left lower extremity pain underwent the first TES minimally invasive surgery in East China at Tenth Hospital and said goodbye to the pain he had been suffering for years under local anesthesia and in a fully conscious state. Recently, the patient was discharged from the hospital. The patient, Mr. Dong, had been seeking treatment at many hospitals for many years, but due to the severity of his condition, conservative treatment was no longer effective, and doctors recommended surgery. But once you hear the doctor explain the whole process of surgery and the serious complications that may result, Mr. Dong shuddered – the surgery requires a 15-centimeter-long incision in the patient’s back, and then the muscles of the waist completely peeled away on both sides, and then finally the bones of the spine, remove the intervertebral discs, and may even need to be fused and fixed. The surgery may require general anesthesia. He was so afraid to undergo the surgery after hearing about it. When Mr. Dong learned that the Tenth People’s Hospital of Tongji University had the world’s most advanced minimally invasive lumbar disc treatment technology, he rushed to seek treatment. After careful examination, he underwent a TES technology disc removal procedure. Medical specialists at the Minimally Invasive Spine Center passed a puncture needle through the patient’s back, expanded it and inserted a Joimax intervertebral foramoscope. The process of disc removal was clearly shown on the TV screen. The procedure went very smoothly and lasted about 40 minutes, with an incision of only 7 mm and no stitches, just a band-aid. The patient was fully conscious of the situation during the whole process, and the medical expert and the patient communicated cordially during the operation. Immediately after the operation, the patient felt that the symptoms of lumbar and leg pain disappeared, and he rolled over and got off the operation bed by himself, without any tension and fear of open surgery. The lumbar disc herniation suffered by Mr. Dong is a common and frequent disease in orthopedics, and is the most common cause of lumbar and leg pain, which refers to a group of clinical syndromes caused by degeneration of the intervertebral disc, protrusion or prolapse of the nucleus pulposus, compression of the nerve root and cauda equina. Lumbar disc herniation is common in young adults, long-term poor posture, chronic strain, trauma and long-term ambulatory work are risk factors for its development, statistics show that the incidence of lumbar pain in Sweden is 53% in light workers and 64% in heavy workers, while 35% of patients with lumbar pain develop into disc herniation. The typical presentation of patients with herniated discs is lumbar pain and radiating pain in the lower extremities, but some patients only show symptoms in the lower extremities without lumbar pain. When a huge lumbar disc is herniated, it can lead to cauda equina syndrome, causing urinary and fecal dysfunction and bilateral lower extremity paralysis. Most of the patients with lumbar disc herniation can be cured by conservative treatment, the main conservative treatment methods are: bed rest, lumbar traction, drugs, closure, massage, physical therapy, acupuncture, etc. When conservative treatment is not effective, surgery should be considered. Conventional open spine surgery is what we usually call traditional surgery, which is done through a large surgical incision to achieve a clear exposure of the surgical site to complete the operation and treatment of the lesion. Posterior lumbar fusion surgery often involves incisions of 15-20 cm or more. These conventional open spine surgeries not only leave huge scars on the body surface of the surgical site, which affects the appearance, but also require extensive stripping of normal tissues in the process of completing the surgical exposure, which is very traumatic and disruptive to normal physiological functions. The average hospital stay for patients reaches 2 weeks, which affects work and life. Therefore, these conventional open spine surgeries cause a lot of harm to the patient while treating the disease. The main reasons for recurrence after surgery are: the discs are not removed cleanly enough, the prolapsed or free discs are not removed and left in the spinal canal, the patients do not spend enough time in bed after surgery, and they get off the floor too early. The reasons for this are The recurrence rate of conventional open surgery for disc herniation reported in the literature is generally around 3-5%, while experienced spine surgeons performing minimally invasive endoscopic disc removal have a recurrence rate comparable to, and sometimes lower than, that of conventional open surgery. Therefore, the recurrence rate of minimally invasive spine surgery is not higher than the recurrence rate of conventional open surgery; the key lies in the surgeon’s experience and grasp of the surgical indications. Almost all spinal diseases can be treated by minimally invasive methods. For cervical spine diseases, anterior-posterior decompression surgery with microscopic and endoscopic assistance can be used; for thoracic spine diseases, posterior and lateral-posterior discoscopic and thoracoscopic techniques can be used for treatment; while lumbar spine diseases are the most active field in which minimally invasive techniques are applied, and percutaneous puncture techniques, posterior and lateral-posterior disc decompression, and Small incision techniques are used to perform anterior-posterior decompression, fusion and internal fixation of the lumbar spine. Of course, not all spinal disorders can be treated with minimally invasive surgery, such as severe lumbar spondylolisthesis, severe lumbar spinal stenosis, and severe rigid scoliosis, which are more difficult to treat with minimally invasive methods. The main advantage of “invasive” surgery is that it is minimally invasive, local anesthesia and wide indications, it is performed under local anesthesia, the incision is only 7 mm, and the patient is fully awake during the operation. The surgeon can communicate closely with the patient, which ensures the safety of the operation and eliminates the patient’s fears and psychology, and the patient is able to move his back and lower limbs immediately after the operation, and can generally walk on the ground after 2 hours. This technique has a wide range of indications and can treat most lumbar disc herniations. The Spine Minimally Invasive Center of the Tenth People’s Hospital of Tongji University is the only hospital in Shanghai and East China capable of performing TES technology, and is the first center in Shanghai and East China to focus on minimally invasive treatment, training and research of spinal disorders, and is currently the most well-equipped and technologically advanced spine center in East China, as well as one of the major spine minimally invasive training centers in China, receiving It is also one of the major minimally invasive spine training centers in China, receiving training in minimally invasive spine techniques from doctors from all over China and the world.