Should I choose surgery for lumbar disc herniation or adhere to conservative therapy? 1, diagnosed lumbar disc herniation, the symptoms are not significantly relieved by conservative treatment for three to six months. 2.The herniated disc compresses the spinal cord or cauda equina nerve and affects the normal excretory function of urination and defecation, the numbness in the perineal area continues to worsen, the muscle strength of unilateral or bilateral lower limbs decreases, muscle atrophy, and even the tendency of foot drop continues to worsen. 3.The conservative treatment is effective, but the patients who have recurrent pain attacks cannot perform daily work and cannot take care of themselves. 4.If there are no symptoms mentioned above, it is recommended to first conservative treatment for a course of treatment, while treatment and observation, if the effect is good, continue treatment. 5.If the effect is not satisfactory, then consider surgical treatment. If you are old and have more underlying diseases, you can temporarily disregard conservative treatment to avoid accidents. In conclusion, since the patient has no relevant medical knowledge, we suggest that you decide whether to operate or not after consulting an acupuncture and massage doctor in a Chinese medicine hospital, combined with a doctor related to orthopedics, pain department or rehabilitation department in a western medicine hospital, most importantly from the patient’s self-perceived symptoms, combined with the doctor’s examination and diagnosis results.