The vast majority of patients with lumbar disc herniation can be cured by non-surgical treatments. If one non-surgical treatment is not effective, do not lose confidence, but carefully study the condition and choose another treatment. Only about 3-5% of patients now clinically end up needing surgical treatment. Indications for surgery for lumbar disc herniation: 1. Acute attack with obvious cauda equina symptoms. That is, the patient suddenly develops severe sciatica, sensory impairment, and dysfunction of urination and defecation, requiring emergency surgery to remove the disc. 2.The diagnosis is obvious: those who are ineffective by regular systematic non-surgical therapy should receive surgical treatment to reduce pain. 3.Some patients with recurrent symptoms, some patients with significant symptoms, relieved by non-surgical treatment, and then again in less than 6-8 weeks, and whose daily life is seriously affected, can be considered for surgical treatment. 4.The condition gradually develops and the neurological symptoms are obvious. If the patient’s condition worsens, the muscle strength weakens, the nerve innervation area continues to be numb or even the foot droops, the physical signs of nerve damage appear, and the nerve root compression condition matches the symptoms in combination with CT and imaging, surgery should be performed as early as possible. 5. Patients with combined lumbar spinal stenosis of other causes who need to undergo spinal canal surgery for exploration. In short, surgery should be considered only after regular and systematic conservative treatment before surgery, which is really ineffective and seriously affects daily work and life.