There are many triggering factors for keloid, heredity, trauma, inflammation, hormonal imbalance and so on. In clinical practice, the purpose of treating keloid scars is to improve the symptoms, relieve pain and itching, and improve the quality of life.2 Reduce the size, flatten and soften the scars.3 Prevent recurrence and promote maturation.4 Keloid scars can be treated by a variety of methods, including the following: 1. According to these factors, several treatment strategies for keloid scars are summarized. First, from the perspective of clinical type 1, non-surgical treatment mainly. General inflammatory keloids such as those caused by trauma are usually treated with non-surgical means, including drug injection, laser-assisted therapy, and radiation of the lesion site. The purpose is to make the keloid relieve the pain and itching symptoms, promote the maturation of the lesion, and inhibit recurrence. 2.Surgical treatment mainly. This type of means is suitable for the treatment of tumor-type keloid. The general clinical use of surgical resection, with other methods of joint treatment, such as immediate postoperative injection of drugs, radiotherapy, and laser for assistance. The purpose is to remove the lesion and prevent recurrence. Second, from the perspective of individualized differences. 1, age and gender, birth plan. Keloid treatment methods are varied, but different groups of people should also be considered. For example, young children patients, it is not suitable for radiotherapy means. Hormone injections are also to be avoided in children. Some pregnant women are also not suitable for injections and radiotherapy. So we have to consider multiple factors and choose the most suitable treatment plan for the patient to achieve the best results. 2. Convenience of consultation. Some patients who have difficulty traveling long distances are not suitable for the cyclic treatment program, and are more suitable for surgical means to remove the lesions at once. Third, from the perspective of the patient’s expectations. 1, simple relief of pain and itching symptoms. Clinical many older patients, or the affected area is not exposed patients, often the appearance of the recovery requirements are not high, just want to relieve the pain and itching symptoms can be, then you can use injections of drugs, with laser-assisted treatment program can achieve good therapeutic results. As long as the patient can adhere to the doctor’s orders according to the course of treatment, generally can have a high degree of satisfaction. 2.The lesion area is obvious and the patient’s requirement is high. Many young beauty lovers have keloids because of ear piercing. Very affect the appearance, so generally these patients have to undergo surgical resection, with super reduction of tension fine suture, recovery is a very fine line, normal social distance can not be seen. Keloid should not be ignored, if not treated in time will continue to deteriorate, seriously affecting the quality of life. It is necessary to consider the comprehensive factors, choose the best treatment program, with treatment, in order to achieve the desired results.