The treatments for bilateral carotid plaque include medication, surgery and lifestyle intervention. 1. Medication: If the plaque has not yet caused serious carotid artery stenosis, medication is the main treatment. Drugs such as atorvastatin can inhibit the growth of plaque, stabilize the plaque, and control the level of blood lipids. In addition, if there are underlying diseases such as high blood pressure and diabetes mellitus, controlling blood pressure and blood glucose in a reasonable range are also very important for stabilizing the plaque. 2. Surgery: If plaque causes severe carotid artery stenosis, which affects the blood supply to the brain and causes dizziness, cerebral ischemia, etc., surgical treatment, including carotid endarterectomy and carotid stenting, etc., is necessary. 3. Lifestyle intervention: A good lifestyle can help to control the disease, including quitting smoking and drinking, low-salt and low-fat diet, proper exercise and regular work and rest. Bilateral carotid plaques may lead to insufficient blood supply to the brain, stroke and other consequences, we must follow the doctor’s instructions to actively treat the disease, and regularly monitor the follow-up indicators.