In recent years, with the continuous progress of medical technology, people’s medical philosophy has also changed, and more and more patients have started to pay attention to minimally invasive, understand minimally invasive and accept minimally invasive. During the consultation process in clinic, online and other channels, we found that the most important questions for patients are “Is my disease serious? “Do I need surgery?”, “Do I need surgery?” and “Can I have minimally invasive surgery if I do?” First of all, the patient’s medical condition is not considered to be serious. First of all, before evaluating their own physical condition, patients should correct their mindset, relax, face the development of the disease process and remove the influence of psychological factors on the real situation of the body. Most lumbar spine diseases are chronic, some patients have a long course of disease, so patients will inevitably be accompanied by some light or heavy anxiety and depression, which requires patients to do regular treatment in a timely manner when the disease, do not think about it, so as not to cause unnecessary pressure on themselves. (For example, some patients with lumbar disc herniation worry that the pain will not be paralyzed after a long time, this problem is very simple, as long as you think about it, the disc herniation it is a chronic disease, drip through the stone, not a day’s work, and so it develops to a certain extent the patients themselves can not bear the pain, which can also allow themselves to carry to the time of paralysis? Therefore, all patients need to maintain a good psychological and positive optimism, rational view of the nature of the disease, to understand the occurrence and development process of the disease. Only the decision made when it is rational is the most beneficial choice for you. So, how do you evaluate whether you have symptoms of anxiety and depression? We use the internationally used SDS and SAS self-rating scales. The higher the score, the more severe the anxiety and depression. From the onset of a disease to its complete cure, it is often a gradual process, from the physical to the heart to accept the test of the disease on you. In fact, it is like passing five hurdles and six generals, all patients have to pass one hurdle after another to finally overcome the disease and restore health. Then after passing your own psychological hurdle, you can evaluate your physical condition. Regardless of the disease, the patient’s first feeling is pain, pain is actually a protection mechanism of the body itself, pain means that the body is indicating that a part of their body has a problem and needs to be treated by some means. For pain, we also have a special pain scoring scale (VAS scoring method), where 0 is no pain and 10 is severe pain, and patients can score according to their own subjective sensations to match their own situation. Generally speaking, a pain score of 6 or more is considered severe, and the effect of conservative treatment is limited, so further minimally invasive treatment or even open surgery can be considered. Of course, it is too hasty to make a decision about the need for surgery based on pain scores alone. A visit to a regular hospital is still an essential part of the process. Some patients are prone to a behavior of seeking medical help in a hurry. Here I suggest that all patients must go to a regular hospital for treatment, and try to avoid going to small workshops or black clinics, keep a good eye on the situation, be cautious with all kinds of prescriptions, and don’t easily try treatments that you can’t trust, which often lead to aggravation of the disease or delay the disease, sometimes bringing lifelong regrets to patients. So, to be responsible for your own body, you must have a correct concept of medical treatment. This is also an attitude of being responsible for yourself. Some patients instead choose the regular hospital, although to go to the local hospital, but he himself holds a skeptical attitude towards the local hospital, do not believe in the local medical level, or some patients bypass the local hospital, directly to the north and other places big hospitals for treatment. In fact, it is not necessary to go to such great lengths. Please refer to the article: How to be a qualified patient? Patients should believe that no matter where the doctor is (no matter where), he is dedicated to serving the patient. And after the local doctor’s examination and auxiliary tests, the doctor will make a diagnosis of your condition and give his or her own treatment opinion, and the patient will have a certain understanding of his or her disease. So after the doctor gives his or her opinion on treatment, who decides if surgery is needed? Is it the doctor or the patient? In the face of disease, the patient and the doctor are joint participants in the treatment of the disease. After the doctor has evaluated the patient’s condition from a professional point of view, the patient can also make a scientific evaluation of his or her own disease and his or her own physical condition. The higher the ODI score, the more serious the dysfunction is, and the higher the SF-36 score, the better the health condition is. The patient can decide whether surgery is needed by combining the doctor’s advice with the results of the self-rating. After these steps, what if the patient is still hesitant and has doubts? The patient has every right to walk around, look around, go to several hospitals and listen to different doctors’ opinions. The development of technology has also provided us with a good platform for remote patients to use the Internet to communicate with specialists in large hospitals. However, the Internet has its limitations, that is, doctors and patients cannot communicate face to face, so the description of the patient’s condition and the uploaded imaging data are particularly important. How can I get good imaging results at home? Some patients may ask why there are so many forms to fill out. First, translating an abstract disease into quantifiable numbers gives patients and doctors an overall grasp of the severity of the disease. Secondly, the scale has the advantage of being easy to use and repeatable compared to a doctor’s checkup. Patients can use the scale regularly to evaluate their condition and understand the development of the disease through changes in the numbers. What if the patient is still unsure after the scoring? Patients can fill out the scales on the website and upload them all to the website so that their doctor can give them reasonable treatment recommendations based on their scores. However, there is a premise that the patient must be realistic when filling out the form and fill out the current status of his or her disease objectively, and the doctor will use the scale to guide the patient’s treatment progress, with the aim of relieving the patient’s pain, restoring health and improving quality of life.