With the development of the times and the progress of science and technology, some surgical methods and approaches are undergoing different degrees of change and gradually developing toward high, precise and advanced technologies. People’s awareness changes with the development of the times, and the most ideal choice of surgical treatment for lumbar disc herniation after ineffective conservative treatment is also different due to the limited level of awareness for quite a long period of time due to the objective conditions. There was a time when MED was chosen as the best option for lumbar disc herniation. When looking at this gold standard again from a current point of view, it is clear that the choice is about to change?PELD is going to replace MED as the new best choice for the treatment of lumbar disc herniation. Advances in science and technology, this progress has laid the foundation for the development of surgical techniques and changes in philosophy. Changed people’s understanding of surgical methods, so that people realize that in addition to traditional surgical methods, there are more advanced surgical methods to choose from, looking around the entire surgery, minimally invasive techniques are being carried out in all departments in a feverish manner, and gradually play a leading role. Orthopedics is no exception, and it is one of the fastest growing disciplines in the entire spectrum of surgical techniques. Spine surgery is one of the hot spots in orthopedics, and minimally invasive spine surgery is one of the hot spots. The advantages of minimally invasive spine surgery are local anesthesia, a few milliliters of bleeding, no fasting or urinary catheterization, intraoperative wakefulness, immediate postoperative floor discharge, and same-day discharge. The indications are broad and cover many of the open fusion procedures of the past, which are not tempting. The entire procedure can be compared to the extraction of a single tooth in dentistry. Such is the strength and burgeoning vitality of minimally invasive spine surgery techniques.