Generally, esophageal smooth muscle tumors over 2cm require surgery. Generally, esophageal smooth muscle tumor is mostly caused by long-term malnutrition, poor diet and other reasons. For patients with obvious pain, frequent attacks and temporary inability to undergo surgery, they can take some medications as prescribed by the doctor. However, when the esophageal smooth muscle tumor exceeds two centimeters, the patient may have symptoms such as swallowing obstruction and obstruction when eating, at this time, malignant transformation may also occur, and timely surgery is recommended. For solitary tumors, the risk of recurrence can be reduced by complete resection of the tumor, and the therapeutic effect is better. It is recommended that patients with esophageal smooth muscle tumor should seek medical treatment in time and adopt personalized treatment plan according to their conditions and medical advice.