Whether or not to operate for esophageal phleboma depends on the size of the tumor, the growth rate of the patient, and whether or not there are obvious symptoms and other factors. If the patient’s esophageal venous tumor is benign and grows slowly, and if there is no bleeding or very little bleeding, and if the patient’s esophagus has no obvious discomfort and other symptoms, which does not affect the patient’s body too much, the patient doesn’t need to have surgery, and he/she can choose to have observation first, and have a review at regular intervals. Once it is found that the esophageal phleboma grows too fast or too big, or even protrudes into the lumen of the esophagus, resulting in narrowing of the esophagus, or bleeding in the upper gastrointestinal tract when eating stimulating or too hard food, or obvious discomfort, then it is recommended that the patient should take the surgery for treatment. If the patient suffers from esophageal phlebitis, it is recommended to go to the hospital for detailed examination and symptomatic treatment under the doctor’s guidance, so as not to delay the condition.