Before lumbar disc surgery, elderly people should take special preparations under the doctor's supervision to reduce the risks of surgery. First, general tests should be done, including heart, kidney, blood sugar, and blood pressure to determine if the patient is ready for general anesthesia. If a person is taking blood thinners such as warfarin or aspirin, they should stop using them before surgery, according to the doctor's order. Modifying the diet is necessary to strengthen the immune system and prevent possible infections. Quitting smoking and alcohol a few weeks before surgery will speed up the healing process. Physiotherapy before surgery can increase the strength of back muscles and improve the recovery process after surgery. Rehabilitation after lumbar disc surgery in old age The recovery period after lumbar disc surgery in the elderly requires a regular and multidimensional program that includes pain control, physical therapy and lifestyle modification. The goal of rehabilitation is to restore mobility, prevent complications and increase quality of life. According to the physical conditions of the elderly, the intensity of exercises and medical care should be adjusted according to the doctor's opinion. In the following, we review the most important stages of rehabilitation: ### Pain management and medications The use of non-steroidal anti-inflammatory drugs, controlled analgesics and in some cases local injections are necessary to reduce pain. It is also important to adjust the dose of medicines in the elderly to prevent kidney and digestive complications. ### Physiotherapy and appropriate sports movements Light stretching exercises, core strengthening, and controlled movements in water help reduce pressure on the spine. Physiotherapy before and after the operation can help to recover faster. One of the most influential factors in the success of surgery is the level of experience and skill of the specialist doctor. ### Compliance with the correct body position and movement restrictions After lumbar disc surgery in old age, sudden bending, lifting of heavy objects and prolonged sitting should be avoided. Using ergonomic chairs and learning how to get out of bed correctly is essential in preventing re-injury. ### Wound control and infection prevention after lumbar disc surgery in the elderly Surgical wound care includes keeping the incision site dry and clean, changing the dressing regularly, and monitoring for signs of infection such as redness, fever, or unusual discharge. How effective is lumbar disc surgery for the elderly? The success rate of lumbar disc surgery for the elderly depends on various factors, including choosing the best time for lumbar disc surgery. One of the most important factors is the severity of the disc damage and the amount of pressure on the spinal nerves. If the damaged disc is diagnosed in time and the patient is in good physical condition for surgery, the probability of success will be high. The patient's general health status, such as osteoporosis, diabetes, heart disease, and kidney function, also play a role in the outcome of surgery. Finally, it should be said that lumbar disc surgery for the elderly can have very successful and satisfactory results if the patient is selected correctly, modern methods are used, and rehabilitation principles are followed. Dr. Yazdan Panahi, spine surgeon and specialist, is considered one of the leading figures in this field by using minimally invasive techniques and special rehabilitation programs for the elderly, and his precise guidance can make the treatment path safer and more effective.