Keloids can be removed surgically, but there is some risk of recurrence. Surgical removal is suitable for those who are ineffective or unsatisfactory to medication and physical therapy. However, keloid patients, even if the keloid is removed, still have the possibility of recurrence after surgery. After surgery, the wound healing causes patients to itch; local disinfection is not in place, resulting in infection, all of which will lead to the possibility of newborn keloid area exceeding the previous size, so if you choose surgical excision, you must cooperate with other treatment modalities to minimize the probability of recurrence. Post-operative care needs to be taken to keep the area clean and dry, avoid scratching and friction, and scar removal medications such as silicone gel can be applied in combination. In addition, postoperative reduction can be performed, postoperative joint intradermal multi-point injection of hormonal drugs such as betamethasone, or X-ray radiation therapy. Keloids are not aesthetically pleasing but do not affect daily life. If you need to remove keloids for aesthetic reasons, you can go to a dermatologist so that the doctor can choose the appropriate improvement according to individual differences. The medication should be used according to the doctor’s prescription.