Performing the surgery is recommended when:

the pain persists despite the implementation of rehabilitation treatment, the use of anti-inflammatory and analgesic drugs and injecting the spine with a steroid,
there is muscle paresis or urinary incontinence - these are conditions indicating advanced compression of the nerve roots, requiring urgent surgical intervention.

The aim of the surgery is to decompress the compressed nerve structures by removing the nucleus pulposus that has slipped out of the degenerated intervertebral disc. The choice of surgical access and the procedure technique is up to the neurosurgeon who qualifies the patient for surgery.