Objective: Lumbar disc herniation is the predominant degenerative abnormality commonly seen in the lumbar spine. There are two possible treatment options in this situation: medical and surgical. Due to the paucity of existing data, it is necessary that thorough studies be conducted in order to evaluate and compare the benefits and efficacy of early surgical intervention against conservative techniques when it comes to the management of lumbar disc herniation.Methods From February 1st to July 31st, 2023, this study was carried out in the Spine Surgery department of the Combined Military Hospital Rawalpindi. After obtaining informed consent, 200 people between the ages of 20 and 50 who had been diagnosed with lumbar disc herniation were added to the study. Out of these individuals, 130 selected medical intervention and 70 selected surgical intervention. The visual analogue scale (VAS) was used to record the patients' pain levels prior to the start of the appropriate therapies. A follow-up pain assessment was performed 90 days following the start of the medicinal intervention and 14 days following the surgical procedure.Results Both the medicinal (7.04± 1.03 vs. 3.52 ± 0.53; p- value: <0.0001) and surgical (6.91 ± 0.95 vs. 2.42 ± 0.43; p-value: <0.0001) intervention groups had significantly different pain scores in the post-intervention period. Following the intervention, the surgical group experienced a considerably lower VAS pain score (2.43 ± 0.44 vs. 3.53 ± 0.54; p-value: <0.0001) than the medical group, with the surgical group experiencing a more dramatic reduction. Both lumbar disc herniation treatment choices should be offered to patients, and the benefits and drawbacks of each therapy category should be discussed.Conclusion In this study, there was a significant decrease in pain among participants who were in their forties and fifties. Clinically, it presents as sciatica that advances along with lower back discomfort.