After doing plastic surgery for a long time, I always feel that surgery is not a cure in most cases, but sometimes when I look back and think about it, there are always so many surgeries that are more important than saving lives, and there are always so many patients and friends that I still remember. There was a brother miner on the third season of China’s Got Talent who sang “When I miss you” to his wife with his guitar, which really moved me and gave me a richer understanding of the daily life of miners. Like ordinary people, they have their own leisure time, their own joy and sorrow like ordinary people. And because they work in the darkness of the mines, their stories seem to be more penetrating. A Quan, a Dong brother from Guangxi, is also a miner. Quan’s life is simple: he works part-time, gets married, has children, and works part-time, and his job is to dig coal in the mines. He is 34 years old, has 2 daughters and 1 son, and is in his prime, his children are exquisite and well-behaved, and his wife is virtuous and simple. Life was calm and real, but the sky has unpredictable clouds, a sudden change of events made A-Quan almost lost his life. Once in the construction, the drill bit suddenly fell off, straight to the perineum of Ah Quan darted away, the twisting centrifugal force makes …… turn ah turn ah, in the blink of an eye Ah Quan perineum blood and flesh. “Life is saved, but the root of life is lost.” This is later contact with A Quan after he told me a sentence, with his rustic smile, clear eyes like a transparent spring water. When I contacted Quan, I learned that the entire perineal area had been destroyed, penis, testicles, anus, all gone! As Quan’s current supervising doctor, I am grateful to the doctors who brought him back. Their greatness, at this moment, is clear and timeless. Quan came back to life, but with him came two more openings in his stomach. One was a cystostomy, followed by a urine bag; the other was a colostomy, followed by a fecal bag. It’s been 2 years, so you can imagine how hopeless and uninteresting this life must be. A doctor friend updated his Weibo account a few days ago, saying, “The 4 best things in life: eat well, sleep well, defecate and pee well! All the others are floating clouds!” All the rest is just a bunch of clouds!”. Indeed, I also wonder, a person in addition to food, in addition to beautiful dreams, no luxury homes, no cars, no socialist dedication to the cause, then what happiness can be shared by the world? Is there still sex? Objectively speaking, I feel very fortunate that Ah Quan came to our Sun Yat Sen Memorial Hospital Plastic Surgery Department and was operated on again by my mentor, Professor Jinming Zhang. This time, the surgery was not to save his life, but to give him happiness. The subtitle “minimally invasive penile reconstruction” is not a boo-boo, it is a more traditional method of penile reconstruction. In the past, penile reconstruction often required a free flap or a local flap to build a new penis, and a skin graft had to be placed where the flap was taken, which not only had a higher probability of dangerous flaps, but also was very traumatic, while Professor Zhang Jinming conceived a safer, minimally invasive method to reconstruct Quan’s penis. He first buried two skin expanders in A-Quan’s abdomen and expanded a piece of excess skin from the abdomen by regular water injection, but it was unreliable for his nutrition to reconstruct the penis directly from this newborn skin. So Prof. Zhang also selectively blocked some veins at the distal end of the skin, so that the safety of the reconstructed penis is greatly improved. The post-operative facts also proved this. At the same time, in order to not only give the penis the function of urination, but also to let Ah Quan and his lover have a long and close to normal sex life, Professor Zhang separated a piece of iliac bone under the surgical incision without affecting the shape of the forebody and implanted it into the reconstructed penis. The procedure was tedious and went according to plan, and Quan cooperated fully with our surgeon, always looking forward to it. After the surgery, the penis was natural in size and the wound healed well, and there was no problem at all with urination and sex. All along, Quan spoke to us with that rustic smile, but after this surgery, I don’t know if I was thinking too much, but Quan had some happy smile on his face. I don’t want to ask too many questions or look into his eyes, but I hope this is also a smile of “sexual” happiness.