Parkinson’s disease is one of the common diseases of the elderly in China, accounting for 1.7% of the population over the age of 65. For “old Parkinson’s patients” who have been taking medication for more than 5 years, the effect of medication is getting worse and worse, and surgical treatment can be considered to relieve the symptoms. In this regard, we will answer questions about surgical treatment of Parkinson’s disease. What types of Parkinson’s patients are suitable for surgery? Patients who are suitable for surgery generally have several conditions: 1. The patient must have primary Parkinson’s disease, not secondary to other diseases. Surgery is effective for primary Parkinson’s disease. 2. The patient must have been treated with medication. The drug treatment 3 to 5 years, has passed the “honeymoon period”, now the treatment effect is not good, this time can consider surgery. 3, there is no serious cognitive impairment, or brain atrophy situation. The patient has normal hearing and can answer basic questions. Because the patient’s cooperation is needed in Parkinson’s disease surgery. Only if these three points are met, and the patient himself has the will to undergo surgery, can surgery be considered. What is the procedure for Parkinson’s surgery? Parkinson’s disease surgery is the most minimally invasive procedure within neurosurgery. The incision on the skull is only 3 to 5 cm and the bone hole in the skull is only 1 cm in size, making the incision very small. Radiofrequency electrodes or stimulation electrodes are delivered to the inner nucleus accumbens, whose tiny electrodes enter the brain, causing minimal brain damage, and it targets only one specific nucleus. After the patient is admitted to the hospital, a detailed physical examination will be performed to exclude other diseases, and then CT, MRI, DTA image scans will be done. The target coordinates are very precise, with an error of no more than 1 mm. Then the surgery is performed according to the target coordinates. The operation is performed by delivering electrodes to the corresponding nuclei. The entire procedure is expected to take 1-2 hours. The patient needs to stay awake during the operation and cooperate with the Q&A, and the safety is relatively good. What are the recommendations for rehabilitation after Parkinson’s surgery? First of all, after surgery, most patients still need to continue taking medication as prescribed by their doctors. The doctor will adjust the dosage of medication according to the patient’s clinical symptoms, and disease control. Depending on the situation, the dosage may be increased or decreased, or the type of medication may be cross-combined. Since the damage of the lesion is a widespread invasive process in the brain from bottom to top, surgery or medications can only solve most of the problems, and a combination of treatments is still needed to promote recovery. Secondly, post-operative patients are advised to maintain a healthy lifestyle by eating healthy, exercising reasonably, and taking medications on time. Parkinson’s disease itself does not affect life expectancy; it is mainly its complications that can affect human health. Therefore, if Parkinson’s patients want to live a long life like normal people, they should pay attention to regulating their lives, maintain an optimistic and good attitude, and live a more active life.