My mother age 60 years suffering from back pain due to slip disk, below is the mri report impression - 1. Broad based posterocentral protrusion of the disc indents the thecal sac & the bilateral traversing l5 nerve roots. Foraminal components of the disc indents the bilateral exiting nerve roots at respective level. 2. Facet joint arthropathy at the l5-s1 level & ligamentum flavum thickening at the l4-l5 level. 3. Disc protrusion with mild ligamentum flavum thickening results in modrate cauda equine compression at the l4-l5 level & mild compression at l5-s1 level. Couple of doctors are proposing a surgery, need your opinion on this. Is surgery is necessary? is there any other option than surgery? please advice. Mother is suffering a back pain from more than 2 years. Many thanks in advance!