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Sciatica surgery may be recommended when severe leg pain, numbness, tingling, or muscle weakness caused by nerve compression does not improve with medications, physiotherapy, or other conservative treatments. Sciatica usually develops due to conditions such as herniated disc, spinal stenosis, or degenerative spine problems that put pressure on spinal nerves. Symptoms often include sharp pain radiating from the lower back down the leg, burning sensation, weakness, or difficulty walking. In some cases, surgery may help relieve nerve compression and improve mobility when symptoms continue for several weeks or affect daily activities. Early diagnosis and proper spine evaluation are important for identifying the underlying cause and selecting suitable treatment options for long-term pain relief and recovery.