The pathological basis of spinal stenosis is the compression of the spinal cord and nerve roots caused by the reduction of the spinal canal volume, and the resulting series of clinical symptoms and signs, and its mechanical compression must be treated by mechanical decompression as the fundamental treatment. The only cure is surgery. Early symptoms of spinal stenosis are not particularly obvious, usually bed rest, physiotherapy and drug therapy are the main treatment, conservative treatment can be used acupuncture and massage, to open the meridians, blood circulation and blood stasis effect. If the pain symptoms can choose non-steroidal anti-inflammatory drug treatment, conservative treatment for a period of time after the pain symptoms will recur, so to usually work to combine work and rest, pay attention to the maintenance of their bodies. When the disease develops to a certain extent, there will be radioactive pain, which affects daily life. For more serious conditions or after conservative treatment is ineffective, surgery is required. Surgery is based on complete decompression and can be divided into minimally invasive surgery and open surgery. With the development of medical technology, minimally invasive surgery is widely used. It is done under visualization conditions using tiny incisions or puncture channels. In summary, the treatment of mild spinal stenosis can start with conservative treatment, and surgery should be performed after conservative treatment is ineffective.