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Low Back Pain Surgery is typically considered when conservative treatments (such as physical therapy, medications, or injections) have not provided relief, and the pain is persistent, severe, or significantly impacts daily activities. Surgery may also be recommended when there is a clear structural problem that can be corrected, such as a herniated disc, spinal stenosis, or spondylolisthesis. The goal of surgery is to relieve pain, restore function, and improve the patient's quality of life.