Wisdom teeth do not have to be extracted symmetrically, it depends on the situation. 1. Some people have wisdom teeth that are normal in location, direction of growth, and occlusal relationship, so this type of wisdom tooth can be removed without extraction. Some people may only have one wisdom tooth, so the one that comes out can be extracted first. Generally speaking, if the occlusal relationship between the wisdom teeth in the upper and lower jaws is normal and there is no decay in the wisdom teeth or the neighboring teeth, there is no need to remove them. 2. However, if the wisdom teeth are not in the correct position, the occlusion is not good, and the growth direction is not right, then it is generally recommended that the wisdom teeth in the upper and lower jaws be extracted at the same time, but it is also possible to extract them in stages. In conclusion, wisdom teeth do not have to be removed symmetrically, they can be removed at the same time, or in stages, or not at all. The appropriate treatment plan should be chosen under the guidance of a professional doctor.