A patient from a rural area in the northwest of China, only 31 years old, had right intrahepatic cholangiocarcinoma with jaundice. He was hospitalized in the oncology department of a first-class hospital for more than 3 months, and the first time the hospital doctor placed a biliary drainage tube to improve jaundice and gave him medication and infusion treatment without asking for a surgical consultation. For patients with intrahepatic cholangiocarcinoma or hepatobiliary carcinoma combined with jaundice, the first step should be to seek surgical treatment, if the jaundice is severe, bile duct drainage can first improve jaundice and liver function impairment, and then should also consider surgical treatment, but the patient is very simple and does not know, listen to the doctor has been where the drainage medication infusion, asked him if he had asked a surgeon consultation, he said to ask another hospital The poor patient wasted three months of his life waiting for the tumor to spread and was discharged to Beijing when he could no longer resume the bile duct drainage. Although the treatment of tumor is already blossoming, most of the current evidence shows that the first treatment of solid tumor should be surgery, and other adjuvant treatment should be the second line! Please remember that if you have a tumor, especially a tumor of the liver and biliary system, you must ask your surgeon to see if there is a chance of surgical resection!