Neither gastritis nor gastric perforation is operated on; if the perforation is small, it may be treated without affecting life expectancy; if the perforation is large, it may be life-threatening. Gastric perforation is a very serious complication, usually accompanied by severe, knife-like pain in the abdomen, nausea, vomiting, and other symptoms, and in severe cases develops into shock and acute peritonitis. If the perforation is small and the abdominal cavity is lightly contaminated, the patient can recover slowly through fasting and anti-infection treatment without surgery, which does not affect the life expectancy; if the perforation is large and the abdominal cavity is heavily contaminated, the patient will easily develop shock and acute peritonitis without surgical treatment, which will lead to death in a short period of time. Therefore, if you have similar symptoms, it is recommended to seek medical treatment as soon as possible to avoid delay.