Objective To explore the application e?ect of the evaluation-intervention-feedback nursing model in the postoperative nursing of lumbar disc herniation (LDH), and to evaluate its impact on the patients ’ quality of life and treatment compliance. Methods A total of 88 LDH patients who underwent surgical treatment in the Department of Pain Medicine of The Second People’s Hospital of Henan Province from January 2022 to June 2025 were retrospectively selected and divided into the control group and the observation group according to nursing methods, with 44 cases in each group. The control group received routine postoperative nursing, while the observation group received evaluation- intervention feedback three-stage nursing pathway on the basis of routine nursing, including early postoperative evaluation, personalized intervention and dynamic feedback follow-up. The quality of life (SF-36) score, compliance score, nursing satisfaction and complications were compared between the two groups. Results After intervention, the observation group demonstrated signi?cantly higher SF-36 scores[(86.75 ± 5.28) vs. (78.64 ± 6.31), P < 0.05], better treatment compliance (P < 0.05), and higher satisfaction in all ?ve dimensions of nursing service (P < 0.05). Although the incidence of complications was lower in the observation group (7.84%) than that in the control group (13.73%), the di?erence was not statistically signi?cant (P > 0.05). Conclusion The evaluation-intervention-feedback nursing model helps to enhance the quality of life and treatment compliance of postoperative LDH patients and improve their nursing experience, which has certain clinical promotion value. Its role in postoperative continuous rehabilitation management should be further validated in the future through multicenter and long-cycle studies.