Aim: The purpose of the present research was to assess the comparison in case of lumbar disc herniation cases related to the outcomes of decompression versus transpedicular screw fixation surgeries. Methodology: Thirty patients with recurrent disc prolapse were included and divided into two equal groups. Group A: interbody fusion with transpedicular screw, and Group B: decompression alone). All were evaluated by history taking, clinical examination and laboratory and radiological investigations. Pain assessed by visual analogue scale and disability index used to assess associated disability. Intraoperative data were document and patients followed up postoperatively for six months, by the same methods used for preoperative evaluation.