The reason why surgery is not recommended for strabismus may be due to adjustable strabismus or small strabismus, but there are still some strabismus patients who need to undergo surgery. 1. Do not need surgery: some patients with accommodative esotropia are generally not recommended to have surgery directly, because patients can correct refractive error by wearing corrective glasses, thus balancing the eye position and generally do not need to undergo surgery. There are also patients with small degrees of strabismus who can choose to wear prisms to correct strabismus without the need for surgery. 2. Surgery is needed: if the degree of non-adjustable strabismus is large, the patient may have discomfort symptoms such as double vision, which seriously affects the appearance, and the patient needs to undergo surgical treatments, such as rectus muscle strengthening, rectus muscle weakening, etc. It is recommended that the patient should consult the doctor in time. It is recommended that patients with internal strabismus should consult a doctor in a timely manner to assess their condition and choose the appropriate treatment under the doctor’s guidance.