Background: Herniated disc, also known as intervertebral disc rupture, is a condition in which part of the disk presses anatomical elements of the spinal canal (nerve roots and spinal cord). age and injuries are several factors that predispose to the occurrence of lumbar disc herniation. The most common disc hernias are common in the lower lumbar spine at the l4 and l5 discs. The aim and BackgroundS: Is to determine the indications and surgical treatment tactics. Method: Study was performed on a sample of 7 patients with lower lumbar disc herniation with contralateral radicular syndrome, a total of 753 patients. Results: of the total number of patients 3 were women and 4 men. patients were hospitalized, examined and treated in republican Hospital during the years 2014-2016. The preoperative neurological examination after a nearly equal split between laterality: right 4 cases, left 3 cases. Motor deficit found in 2 cases, one case ipsilateral to disc herniated and 1 case contralateral. The indications for surgery were determined by clinical signs, which suggested an acute disco radicular conflict. In our study, we wanted to re-instate discussions of herniated disc with contralateral radicular syndrome in association with motor deficit, what treatment and tactics to deal with. The patients with low lumbar disc herniation and radicular syndrome associated with contralateral motor deficit are rare. Conclusion: This represents the first reported case in the literature of lower lumbar disc herniation with contralateral radicular syndrome associated with motor deficit.