This is an issue of great concern to elderly malignant tumor patients and their families. In fact, although there is a trend of younger onset of malignant tumors in recent years, most patients still belong to middle-aged and elderly, and it is not uncommon to see patients over 65 years old in clinical work. Whether this part of the elderly patients can withstand surgical chemotherapy is a decision that needs to be made by considering the patient’s condition, systemic condition, and weighing the risks and potential benefits of surgery, not only considering the age. As long as the patient has good cardiopulmonary function and no contraindications to surgery or anesthesia, they are able to tolerate surgery. Current chemotherapy regimens have become more scientific, and most patients can tolerate chemotherapy as long as no contraindications are found after a thorough examination and evaluation. Wang Xiaofeng, Department of Anorectology, Guang’anmen Hospital, Chinese Academy of Traditional Chinese Medicine