How serious is lumbar disc herniation? Not true. Lumbar disc herniation is too common a disease just like the flu in the respiratory system. It is the most common of spinal disorders. Like old age, graying hair and loose teeth, it is a degenerative physiopathological change in the animal kingdom. The degree of harm is very lightly treated, and there are no serious consequences in time. Only for special populations, serious consequences can occur. For example, a single cold can be as fatal as in a senile old man. In some patients, untimely treatment of lumbar disc herniation can lead to unrecoverable neurological dysfunction, such as damage to the cauda equina nerve leading to dysfunction of the second stool. Some people with improper treatment methods, along with long-term degenerative changes slowly progress to serious pathologies such as spinal stenosis. Do not be afraid, even if the spinal stenosis, slowly can be implemented endoscopic surgery of the spine. As the saying goes, “strategic contempt, tactical importance”, lumbar disc herniation is not a serious disease as some people imagine. The hearsay that promotes the horrors of open technology overshadows the glory of minimally invasive treatment techniques. It delays the patient’s chance for early recovery. What kind of patients need surgical treatment? Lumbar disc herniation will provide long-term relief for most people with rest and appropriate treatment. Surgical treatment is required only if the following conditions are met: severe clinical symptoms; severe imaging findings; and patients who have failed conservative treatment or have recurrent episodes. What is medically induced trauma? Surgery is the surgical treatment of human diseases, and the process of surgery on human body will cause damage to human body. This injury is medically known as medical trauma. In principle, if a disease can be cured by medical treatment, it must not be treated by surgical treatment. Surgery is the treatment method in case there is no alternative. With the advancement of technology, this medical trauma is being controlled less and less. This is the beauty of minimally invasive surgery. What is the best surgical approach? The method with the least medical trauma with equal efficacy is the best treatment method. With the development of imaging-guided technology, optical technology, and artificial intelligence technology, various minimally invasive techniques have made great strides. Imaging-guided spinal endoscopy is an old technology that has matured over the decades. Can the surgical approach cure lumbar disc herniation? No, this concept is wrong. The cure and recurrence rates of surgical procedures are in the realm of probability of events, that is, there is no absolute 100%. First of all the cure is aimed at the concept of malignant disease. Lumbar disc herniation is a degenerative disease, which is about long-term remission. No treatment can guarantee 100% cure and no recurrence of lumbar disc herniation forever. The trauma that occurs during surgical treatment becomes medically induced trauma, a process that cannot be overcome, yet we can minimize it, which is the driving force behind the development of minimally invasive surgical techniques. We just take the lesser of two evils, choose the treatment method with relatively less trauma and relatively better treatment effect, and then strive to obtain better treatment results. With the gradual increase of human age many pathological changes will occur, different pathological changes will have different treatment methods or even minimally invasive treatment methods. What is the cure rate of minimally invasive surgical methods of treatment? As technology advances, it is becoming less invasive and the cure rate is increasing. The excellent rate of spinal endoscopic treatment is probably between 90-95%, and the return rate for those requiring surgical disposition is about 2-3%. When a surgical treatment is completed, the pathological degeneration of a person’s lumbar spine is not stagnant. Degeneration of the lumbar spine is still occurring as a person ages. Even in patients who did not previously have a lumbar disc herniation, various degenerative changes occur in the lumbar spine as they age, and some patients reach a point where surgical treatment is required. Therefore patients who have had a lumbar disc herniation should not expect no incidence, but only that the treatment process will not be too painful. The technology is now available at a level where endoscopic methods of spine treatment can be implemented even in the event of recurrence and is gaining popularity in the near future. How minimal is the surgical trauma of minimally invasive spinal endoscopic surgery?$ Do you know about toothache? Minimally invasive spinal endoscopic surgery has only a 7 mm incision and does not require antibiotics during the procedure. Patients can be treated on an outpatient basis following the same procedures used for dental pain treatment. In a very short period of time, we will be performing outpatient treatment of lumbar disc herniation. Patients complete outpatient history collection, physical examination, and imaging data collection, have a preoperative conversation in the clinic, and make an appointment for surgery. The patient receives surgical treatment at our outpatient operating room according to the scheduled surgery time. After a period of postoperative observation with no abnormalities, bring the perioperative waist home the same evening. After receiving post-operative rehabilitation instructions, gradually return to the normal schedule life track. Is lumbar disc herniation such a terrible disease? No, lumbar disc herniation is just a “cold” in our spine. The scientific use of their lumbar spine, to be strong and healthy, as the saying goes, “the upper doctor to cure the disease”. If a lumbar disc herniation occurs and conservative treatment is ineffective, 95% of patients who need surgery can successfully complete the treatment process and recover smoothly under the guidance of outpatient treatment, just like toothache. As the saying goes: if you know your enemy, you will never lose a hundred battles. Everyone knows the cause, pathology and technical content of the treatment of lumbar disc herniation, which will help to complete the whole treatment process smoothly and get recovered soon. I wish everyone a strong and healthy lumbar spine.