Selva-Sevilla C, et al. - Conservative treatment, discectomy, and discectomy with spinal fusion for patients with recurrent lumbar disc herniation after a previous discectomy were compared in this cost-utility analysis. Among 50 patients with disc herniation recurrence, 11 underwent conservative treatment, 20 underwent discectomy, or 19 underwent discectomy with fusion. Outcomes revealed higher cost efficacy of conservative treatment vs discectomy in patients with lumbar disc herniation recurrence. Researchers identified discectomy as a more cost-effective surgical alternative than discectomy with fusion for cases of recurrence in which conservative treatment is not feasible, and require another surgery.