Carotid plaques may not require any treatment as long as the plaque is stable and there are no hemodynamic abnormalities. Carotid artery atherosclerotic plaque formation may be due to hypertension, diabetes, obesity and other underlying diseases, coupled with a high-fat, high-salt diet, alcohol consumption, smoking and other bad habits. These factors are prone to carotid artery endothelial damage, phagocytosis, lipid deposition, and gradual formation of atherosclerotic plaque. Elderly people often have atherosclerosis, coupled with other underlying diseases or bad habits, more likely to cause plaque rupture and fall off to form cerebral infarction or cerebral hemorrhage, resulting in life-threatening injuries. In general, if the carotid plaque is small and the risk of rupture is not high, no treatment can be done, and some patients will not have obvious symptoms in their lifetime if they follow the doctor’s instructions and undergo regular checkups. If the risk of rupture is high, the necessary treatment is required. Therefore, it is necessary to be evaluated by a physician before proceeding to the next step in the program.