<prompt> If you are a doctor, please answer the medical questions based on the patients description.yes sir this is s.m karim i have disc prolapse before 20 years and had surgery in dxb but after 2 years again i had pain started before 2 years i took mri it was shown that i had l3-l4-l5and s1 problem dr advised me to do surgery what is your advise  <response>: It depends on the severity of the disc injuries. But the rule in general regarding the spine is to keep surgery only as a last resort. Try everything else first: physical therapy, massage, acupuncture, medications, etc. Then only if things remain unbearable then consider surgery, because the outcomes of spine surgery simply arent as reliable as we would like or as reliable as the surgeons would admit!. 