Your own painful physical examination is the most and most important factor in deciding on surgery, followed by extensive information gathering and extensive communication with doctors who know what they are doing. As has been communicated many times, lumbar disc herniation is not a malignant disease. Most of the patients are getting less and less symptomatic after the acute phase pain symptoms are relieved. There will be no need to implement further highly invasive treatment methods, but simply maintenance and rehabilitation. First, if the pain is very severe and cannot be relieved, it is impossible to get through the acute phase. The doctor’s advice is sought, and the prominence is also very severe. Then further treatment should be considered. It is time to consider the timing of surgical treatment. The second time to consider is if the numbness or even weakness that occurs after the acute phase. The third time to consider surgery is if you have been in a lot of pain for a long time and have been unable to live a normal life, you should also seek the advice of your doctor to see if surgery is needed. Prior to the widespread clinical use of CT MRI, the duration of conservative treatment was generally 6 months. It is generally difficult to observe such a long period of time in modern times. My opinion: the duration of conservative treatment should not exceed 3 months. In the past, the severity of imaging was not known. Nowadays, imaging tells doctors and patients very clearly the severity of the disease. If the disease is very serious, still blindly conservative treatment, wait until 6 months when the symptoms are still not relieved. Then the time for early surgical recovery is missed and another leave of absence for surgery and rehabilitation may be required. The fourth opportune time to operate is when there are cauda equina symptoms and very severe clinical symptoms and very severe imaging, and follow the doctor’s advice to treat surgically without any consideration at this time.