Sacral spina bifida can be treated by the following methods: first, occult sacral spina bifida, most of which do not require treatment, and those with only mild pain symptoms undergo functional exercise of the lumbar back muscles and symptomatic treatment, such as acupuncture, physical therapy, and application of neurotrophic drugs. If the symptoms are severe and symptomatic treatment is ineffective, vertebral fusion is feasible; second, dominant spina bifida, early repair surgery can prevent or reduce the occurrence and progression of paralysis and other complications. For those with nerve root and spinal cord bulging, the cyst wall should be removed, the nerve root and spinal cord should be released, and the defect should be returned to the spinal canal and repaired. In cases of early postnatal rupture of the cyst wall, spinal cord and nerve root exposure, and complete paraplegia, surgical treatment is extremely risky and has poor postoperative results; stent application can prevent the development of the deformity. Those with scoliosis, kyphosis and various deformities of the lower limbs should undergo corresponding orthopedic surgery.