Whether or not a lumbar disc herniation requires surgery is a concern and a nagging question for every sudden friend, and many people go through a phase of hesitation, uncertainty and even pain, including concerns about the risks of surgery, as well as concerns about the post-operative effects, whether it will recur, whether there will be other problems, etc. So is surgery necessary for lumbar disc herniation? This question requires consideration of several factors: 1. First, the degree of lumbar disc herniation should be considered: if the lumbar disc herniation is mild to moderate, conservative treatment is possible (Figures 1 and 2); while if it is severe, surgical treatment should be considered (Figures 3 and 4); 2. Second, the course of lumbar disc herniation should be considered: if it is the first attack, conservative treatment is preferred, but if it is recurrent 3. again, the effect of conservative treatment should be considered: if it is effective after regular conservative treatment, surgery is not necessary; if the symptoms are not relieved significantly after conservative treatment, or if the symptoms are relieved and then reappear, surgery needs to be considered; 4. in addition, if lumbar disc herniation shows symptoms of weakness in the lower limbs or abnormalities in urination and defecation, it indicates that the condition is more serious and requires surgery as soon as possible. Surgical treatment is needed as soon as possible.