There's grade 2 anterolisthesis of l5 on s1 with severe loss of disk height. moderate loss of disk height at l3-4 and l4-5. pars defects l5. needsurg?

Back pain: Depends on the findings and your pain and also your functional limitations.

Not necessarily: Those findings are relatively common, especially in persons who have practiced sports in their younger age. Surgery is only recommended on the basis of disabling symptoms, and after conservative treatment and alternative measures such as epidural injections have failed.