Indications for surgical treatment of cervical disc herniation are related to positive signs on examination, size of imaging protrusions, and patient complaints. Indications for surgical treatment include severe nerve root compression, finger numbness, spinal cord compression, cervical instability with lower limb instability, panic, breath-holding, and severe spinal stenosis on MRI or CT. Mild nerve root compression can be treated with simple minimally invasive treatment to remove the nucleus pulposus compressing the nerve roots; more severe compression with significant displacement of the nerve roots can be treated with cervical endoscopy to remove the nucleus pulposus compressing the nerve; with severe spinal stenosis, calcification of the ligamentum flavum, and cervical instability, open surgery is required.