Lumbar disc herniation is a common spinal condition that many people are very nervous about having. In fact, about 80-90% of patients with a first episode of lumbar disc herniation can be successfully treated conservatively. This requires formal conservative treatment measures, most critically strict braking and rest, followed by supplemental medications and physical therapy. In what cases does a lumbar disc herniation require consideration of an incision (surgery)? Absolute indications: 1, urinary and fecal dysfunction, cauda equina syndrome, causing urinary and fecal dysfunction is often free prolapse of the acute large disc herniation, need to be operated as early as possible in order to obtain the best neurological function recovery. 2.Progressive aggravation of neurological impairment (e.g., the appearance of significant muscle weakness and atrophy), and progressive neurological damage, which can lead to irreversible damage to neurological function if not operated on at an early stage, and it is wise to operate at an early stage. (Absolute indications are medical terms, in this case, it is advisable to follow the doctor’s advice, do not hesitate too much, so as not to delay treatment) Relative indications: 1, conservative treatment is ineffective: the ideal course of conservative treatment is not less than 6 weeks but not more than 3 months. The success of conservative treatment is measured not only by pain relief, but also by improvement in the ability to raise the straight leg. In order to avoid chronic pathological changes in the nerve root, patients with acute radicular symptoms (radiating pain in the lower limbs, limited straight leg raising) who are ineffective in conservative treatment are recommended to undergo surgery within 3 months in order to obtain the best therapeutic effect and minimize the sequelae. 2.Recurrent attacks of sciatica. For the first attack, 90% of the patients will get better and maintain the efficacy after conservative treatment; for the second attack, 90% of the patients will get better, but about 50% of the symptoms will reoccur, so surgery can be considered; for the third attack, 90% of the patients will have recurrence of the symptoms, so surgery should be recommended. 3.Neurologic impairment with obvious limitation of straight leg raising ability. (Restricted straight leg raising means that the nerve root is obviously squeezed and the tension of the nerve root is increased, leading to its restricted activity, and can be accompanied by obvious nerve root inflammation and ischemia, usually the normal straight leg raising can be more than 60 degrees) 4. Herniated disc with obvious lumbar spinal stenosis. It can be congenital developmental spinal stenosis or acquired degenerative spinal stenosis, which means that the spinal reserve space of the spinal canal becomes smaller, and the compensatory ability for the herniated disc is small, so conservative treatment is not easy to be successful and easy to recur. (Relative indications is a medical term, in this case, it is advisable to make a joint decision with the doctor to analyze the pros and cons of surgery, combined with their own requirements for quality of life, to choose the right time, the right treatment plan to avoid delayed treatment) With the accelerated pace of life, there are some patients with severe symptoms, conservative treatment for 4-6 weeks is ineffective can also be considered for surgery, especially minimally invasive surgery, reducing the damage, recovery is very fast, more in line with the concept of modern life. The emergence of minimally invasive surgery, in particular, reduces the damage and the recovery is very fast, which is more in line with the concept of modern life.