During a trial of surgery versus conservative care for sciatica and lumbar-disk herniation, 283 patients had MRI assessment of disk herniation at 1 year. 84% of patients had a favourable 1-year symptomatic outcome—85% of those with disk herniation as detected by MRI and 83% of those without. Disk herniation was detected in 35% of those with a favourable outcome and in 33% with an unfavourable outcome.