Surgery after coughing up blood is generally useful, but whether to perform surgery or not cannot be judged by symptoms, and should be judged according to the degree of patient’s condition and other factors. Usually, coughing up blood in lung cancer patients is mainly caused by local growth of primary tumor. In this case, most of the patients’ tumors are limited and have not metastasized to the opposite side of the lungs or other parts of the lungs, and some of the patients can achieve the therapeutic effect through surgical treatment. When patients have lymph node metastasis near the hilar area, it means that the disease has already developed to the middle stage, and surgical treatment at this stage can still achieve certain therapeutic effect. Meanwhile, the 5-year survival rate of patients after surgical treatment is about 30%~44%, and the mortality rate of surgical treatment is only about 1%~2%. According to their own conditions, patients should judge their own conditions under doctors’ evaluation and choose surgical treatment reasonably, which can have better curative effect. It is recommended that lung cancer patients should consult doctors in time when they have hemoptysis symptoms to clarify the degree of their condition and actively cooperate with doctors for surgical treatment.