Chronic diseases continue to plague people today, and the associated psychological problems they cause are highlighted. Lumbar disc herniation, a common chronic disease, is often accompanied by anxiety and depression. In a study by Ormel et al. of 5078 patients with 16 chronic diseases, it was found that 24.5% of patients had mood disorders, of which 17% had significant depressive symptoms and 14.7% had anxiety symptoms. As a chronic disease characterized by recurrent pain, lumbar herniated discs have a high incidence of patient depression, anxiety, and both of these associated psychological factors can negatively affect the expected outcome of surgical treatment and recovery. I will review the issues related to anxiety and depression in patients with lumbar disc herniation in the following aspects: 1. Whether patients with lumbar disc herniation are prone to anxiety and depression In the issue of whether patients with lumbar disc herniation are prone to anxiety and depression, many scholars at home and abroad have conducted extensive studies. 1-1 Preoperative depression Tae Woo Kim et al. studied 224 Korean men [150 normal and 74 patients with lumbar disc herniation] and found that the incidence of anxiety and depression was significantly higher in the group of patients with lumbar disc herniation than in the normal group (p=0.017,0.000). As shown in Figure 1. Figure 1 This indicates that lumbar disc herniation does increase the odds of anxiety and depression in patients. Analysis of the causes may be related to stress factors such as loss of physical function, persistent pain, disturbed sleep cycles, expensive treatment, and fear of surgery in patients. Postoperative depression Patients are likely to develop negative emotions such as depression and anxiety before surgery. These emotions inevitably have a negative impact on the expected outcome of the surgery, and the postoperative symptoms do not improve as much as hoped, and the discomfort, mainly pain, may even increase. Postoperative anxiety and depression are further aggravated on the basis of unstable psychological factors before surgery. 2, anxiety and depression have an impact on the expected effect of surgical treatment and recovery clinically, the diagnosis of lumbar disc herniation is mostly confirmed by imaging, but sometimes the clinical symptoms of patients are not consistent with the imaging results, and the treatment results of patients with the same condition also vary greatly, excluding the influence of the operator, the different psychological conditions of patients also directly affect the expected effect of surgical treatment and recovery. Sorensen et al. analyzed the results of 15 studies on preoperative psychological evaluation and surgical outcomes after lumbar discectomy, showing a correlation between depression and depression and surgical outcomes. It is believed that preoperative psychological evaluation of lumbar disc surgery should become routine. Related studies have also shown that psychological factors have a high correlation with the occurrence, development and prognosis of degenerative lumbar disc herniation some patients’ series of clinical manifestations may be a response to their psychological characteristics. Postoperative pain is positively correlated with preoperative anxiety and depression. In China, Yi Zuling et al. studied the correlation between the results of preoperative SAS and SDS scores and the results of postoperative VAS scores and found that SAS and SDS scores had a positive correlation with VAS pain scores at 6h postoperatively (r>0.5,P<0.05), and at 72h postoperatively, SAS and SDS scores had a good positive correlation with VAS pain scores (r>0.5,P<0.01). Anxiety depression not only affects the postoperative evaluation but also directly affects the patients' own recovery. In conclusion, anxiety-depression has a negative impact on patients' postoperative outcome of the operator's treatment as well as their own recovery expected results. 3, how to identify and respond to patients appearing anxiety depression modern medical disciplines are increasingly closely linked to each other, with the change of medical model, the role of psychological factors for patients with lumbar disc herniation is increasingly valued. This requires orthopaedic surgeons to understand psychological aspects. Anxiety is the most common emotional state, a neurological disorder characterized by a persistent state of depressed mood, often accompanied by anxiety, somatic discomfort, and sleep disturbances. Clinicians should pay attention when they find patients with generalized tension, facial tenseness, frowning, sighing and sweating, dizziness, shortness of breath, rapid heartbeat, body chills and fever, cold hands and feet or fever, and excessive urination and defecation, and promptly have patients fill out the SAS Anxiety Self-Assessment Scale to make a diagnosis. Depression, also known as depressive disorder, is characterized by significant and persistent depressed mood as the main clinical feature and is the main type of mood disorder. Clinicians can consider the occurrence of depression when patients present with psychological symptoms such as sullenness, reduced active speech, alienation from friends and relatives, and physical symptoms such as sleep disturbance, fatigue, loss of appetite, weight loss, constipation, nausea, vomiting, panic, chest tightness, sweating, etc., and promptly ask patients to fill in the SDS depression self-assessment scale. In clinical practice, it is sometimes difficult to distinguish between anxiety disorder and depression because of their concomitant onset, so the clinician needs to consider them together. (SDS and SAS measurement forms are attached below.) It is crucial to communicate as a clinician and patient. It is important to make the patient clear during the preoperative talk and related treatment, but not to make the patient overly nervous, which reflects the professionalism of a doctor. When the patient is found to be psychologically unstable, timely counseling is provided and the psychologist is asked to provide timely treatment. In conclusion, the anxiety and depression of patients with lumbar disc herniation should be treated seriously and not be rushed into surgery, resulting in adverse consequences.