In recent years, minimally invasive lumbar disc herniation surgery has been introduced, and patients often ask which treatment is the best in outpatient clinics. Will the surgery be paralyzing? We perform lumbar spine surgery, which is a routine procedure, and the specific treatment plan must be individualized according to the patient’s specific situation. If the lumbar disc herniation is not very strong, you can try conservative treatment by applying neurotrophic drugs such as neurotolepine + loxoprofen (anti-inflammatory and analgesic) and lying flat in bed for 2-3 weeks; if the disc herniation is obvious and the compression is very strong, conservative treatment is ineffective and the symptoms are heavy and affect daily life, surgery is recommended. Depending on the specific situation, different surgical methods are used, such as total laminectomy, windowing, etc.; if there is lumbar instability, internal fixation and fusion is required. The use of small incisions and openings can effectively remove the nucleus pulposus, resolve disc compression, be less traumatic, completely preserve the posterior stable structure of the spine, and operate under direct vision to safely remove the nucleus pulposus for lumbar disc herniation without spinal stenosis. Lumbar disc herniation with significant spinal stenosis requires total laminectomy. Total laminectomy should be avoided in the absence of significant spinal stenosis. About discoscopy and foraminoscopy. The indications for discoscopy are limited. It is suitable for mild herniations with more recurrences, and some orthopedic surgeons who perform it are not as enthusiastic as they were at the beginning; foraminoscopy is better than discoscopy, but the effect is very much related to the operator’s operation, and improper operation may not be “minimally invasive” and may not resolve the herniated disc well. Between surgery and conservative treatment, there are also methods such as chemical melting nuclei, which are mainly suitable for people with mild herniation and weak compression but with symptoms. This method is currently mainly done by doctors in the pain management department (pain department). People often ask which method is the best? Is there any risk to do the surgery and will it be paralyzed? In fact, the characteristics of different patients with the same disease are different, so there are inevitably differences in treatment methods; the same surgical method may also differ in the operating skills of different doctors during surgery. For the risk of surgery, I think everything is risky including walking on the road, surgery of the lumbar disc is a mature technology, after formal training in this area of orthopedic surgeons this is not a problem; if the symptoms and signs imaging situation to the extent that should be operated, give up the opportunity to operate, but there is the possibility of paralysis, but also may gradually increase in age and poor health neurological symptoms aggravated when you want to operate The risk of surgery is greater because of the long duration of the disease and the unsatisfactory results of the surgery, or the physical condition may not allow surgery.