Surgery is not always necessary for mid back pain. In many cases, conservative treatments such as rest, physical therapy, Airrosti care, medication, and lifestyle modifications can effectively manage symptoms and improve mid back function. Surgery may be considered if conservative treatments fail to provide relief, or if there is evidence of structural issues such as spinal instability or compression of nerves that require surgical intervention. It’s important to discuss all treatment options with a healthcare professional to determine the best course of action.