At the beginning of this year, a middle-aged man from Henan province came to me with his only 15-year-old son and told me in detail about his experience of leading him to the doctor. It turned out that a year ago, this cute child with a tiger’s head was found to have familial colon polyposis, in which the entire large intestine was covered with dense polyps and the child had blood in his stool all day long. The father took the child to almost all the tertiary hospitals in Beijing and was told that he needed a total colon and anus resection and a permanent ileostomy. Because the child is still young, if the anus is removed and a small intestinal fistula is performed, the rest of the child’s life will be seriously affected, so he was hesitant to make up his mind to have this surgery. The first time I heard from a relative in Inner Mongolia that I had some experience with this disease surgery, I came all the way to Hohhot to find me. I looked at the child’s examination results in Beijing in detail and thought that the operation must be done as soon as possible, otherwise there is a possibility of malignant transformation, and daily blood in the stool has a serious impact on the child’s growth and development, and explained to the child’s father in detail the dangers of this disease and the surgical methods: (1) colorectal resection + permanent ileostomy; (2) total colectomy + ileorectal anastomosis; (3) total colectomy + ileoanal anastomosis; ( (4) total colectomy + ileal storage pouch anal canal anastomosis. I thought that such a young child would lose a lot of wonderful pictures and chances to excel in his future life if he had the first surgery, while the second and third middle surgeries could save the anus, but they were not very suitable due to incomplete surgery and post-operative diarrhea and other problems. After communicating with the parents, I decided to perform laparoscopic total colectomy and ileal storage pouch anal canal anastomosis for the child. The operation went well, and all the colon and rectum were removed laparoscopically. In order to save the parents money, a small auxiliary incision was made in the lower abdomen to perform ileal pouch formation, and then this pouch was anastomosed to the anus, and a prophylactic small intestinal fistula was performed to prevent severe pouch and anastomotic fistula. Three months after the operation, a second operation was performed to return the small intestinal fistula. At the time of discharge, the child was able to control the bowel on his own, and had 5-7 unformed bowel movements per day. On review six months later, the child was found to have grown taller, by half a head, with a rosy complexion and a shy smile. He had 2-3 bowel movements per day, which were formed, with occasional loose stools and no anal overflow or incontinence. There was no eczema on anal examination, no stenosis of the anastomosis on finger palpation, and no polyps in the anal canal. Wang Ju, General Surgery Department, People’s Hospital of Inner Mongolia Autonomous Region Through this case, I feel that I have fully done my part as a doctor. It is not my fault if I did the first surgery for the child, because this is how the disease ended. However, considering that the child was in his prime, if the anus was removed for a small intestinal fistula, the child would be burdened with unpredictable shadows in his future life and he might lose many opportunities to excel in life. The first is the fact that the company has a lot of money to spend on the project. People say that the heart of a doctor is the heart of a parent, and I don’t think this is too much to say. I often encourage myself that there is no such thing as an “authority” in the medical field, there is only science, experience, perception and the fear of life.