Recurrent Lumbar disc herniation (RLDH) is the most common cause of failure of primary discectomy resulting significant pain and disability. Different surgical modalities were proposed with no consensus on specific method. This study was aimed to retrospectively compare the clinical outcomes of revision open discectomy (ROD) with or without instrumentation herniation between January 2012 and December 2025. There were 176 patients who underwent 3 different forms of surgery with the same surgeon. The patients were divided into three groups accordingly: Group-RO (ROD, n=59), Group RU (ROD with uni-lateral instrumentation, n=73), and Group RT (ROD with Transforaminal Lumbar Interbody fusion, n=44). Clinical outcomes were evaluated using pre- and postoperative VAS, ODI and JOA scores. Postoperative radicular and lumbar VAS scores were significantly higher in Group RO compared with Groups RI and RT, nonetheless the postoperative ODI score was also significantly higher in Group RO. The recovery rates were highest in Group RT (79%) and Group RI (77.5%), while Group RO showed a lower recovery rate (67.8%). Postoperative JOA scores improved significantly in all groups, with Group RT showing the greatest improvement in total JOA scores. Although all surgical varieties resulted significant improvement of VAS, ODI and JOA Scores, both ROD with unilateral instrumentation and ROD with fusion appear to be more effective surgical options for the management of RLDH.