Myth 1, face injection can cure facial muscle spasm, and there are no side effects of conservative treatment. Botulinum toxin injections in the face can block the conduction of facial nerve endings to facial muscles, a conservative peripheral treatment, if the injection location is accurate, the relief time in 3 to 6 months, if the injection site and dose is not accurate, the spasm can not be relieved, and even long-term facial paralysis. Myth 2, “needle” can cure facial muscle spasm. The main method of needling is to destroy the peripheral branches of the facial nerve to prevent it from inducing spasms. In fact, the destruction of the peripheral nerve can relieve spasm for a short period of time, but the long-term effect is not good, as the conduction of the nerve trunk behind the regeneration of the peripheral nerve is transmitted to the facial muscle again, which can trigger spasm again. Moreover, peripheral nerve destruction can lead to permanent facial palsy, which is more than the side effects of Botox. Myth 3: Chinese medicine can cure facial muscle spasm by identification. Ancestral medicine such as acupuncture and compresses have certain efficacy and less damage, but the cure rate is not high and cannot cure facial muscle spasm from its etiology. Myth 4: Facial nerve microvascular decompression surgery will have many, heavy complications. Microvascular decompression surgery, which is performed in the interstitial space between the cerebellum and brainstem, does not significantly damage the brain tissue. It is an extremely delicate cranial nerve surgery, and requires physicians with considerable microsurgical foundation to perform the surgery. The total surgical efficiency can reach 95%, which is much higher than other treatments. Its complications mainly include facial paralysis, hearing loss, choking on water, hoarseness, etc., but the total incidence is 3-5%, and the incidence is relatively low. Myth 5, microvascular decompression surgery is not effective. Facial nerve microvascular decompression surgery is to isolate and decompress the vessels compressing the facial nerve (responsible vessels) and the facial nerve at the exit of the brainstem, thus stopping its involuntary discharge and fundamentally relieving the root cause of the spasm. Clinically, about 20-30% of patients who have been compressed by the ectopic vessel for a longer period of time develop partial degeneration of the nerve, whose degeneration does not recover at the same time as the surgery, but takes some time to recover, so that some of these patients show delayed recovery and usually stop twitching half a shift year or even longer after the surgery, not because the surgery is ineffective.