Objective: To observe the clinical efficacy of acupotomy minimally invasive treatment on nerve root type cervical spondylosis. Methods: The clinical symptoms ,signs and imaging three-step method for locating the nerve root type cervical spondylosis pinpoint lesions, on the basis of a positive reaction to the cervical transverse point facet positive point as the main treatment point, while the acupuncture treatment group as a control. Results: 80 cases in group acupotomy recovered 38 cases, 30 cases markedly improved and 10 cases a little improved, the total efficiency of 97.5%, which was significantly better than acupuncture control group (P<0.05). Conclusion: The combination of the three-step acupotomy positioning treatment of nerve root type cervical disease than the control group, and got a significant effect.