Low back pain is common disease, and is one of the most crucial problems in Japan and the United States. Fifty thousands million dollars per year were paid for the low back problem. Many authors have reported etiology, pathology, diagnosis, and treatment of pain originated from lumbar intervertebral discs, however the mechanism and treatment for discogenic pain remains to be unclear. In the United States, artificial disc has became to be used for treatment of discogenic low back pain, however, some authorities gave problems for the use of artificial disc. In this paper, we stated mechanism, estimation, treatment, and surgical results of the discgenic low back pain.