Some patients’ families still keep asking questions about whether lumbosacral lipoma and cremaster embolism need surgery; whether they can be treated surgically. Why do such questions arise? First, the parents of the child find a mass on the back of the child’s lower back and cannot realize how much of a problem this mass will cause, thinking that the mass will be eliminated as the child grows. Secondly, after the parents of the child found it, they went to the local hospital, which was unable to judge it, and after they were referred to a higher level hospital, it turned out that the higher level hospital had limited knowledge of the disease and found that the lipoma had invaded the spinal canal and had obvious adhesions to the cremaster, and that surgery would cause damage to the cremaster, leading to incontinence and symptoms of bilateral lower limb paralysis, so much so that the parents were told that they could not operate, leading to the patient’s trust in the first doctor and thus not being able to Accept the caution of other doctors. Parents have a serious lack of knowledge about this disease, especially when the child’s symptoms are only lumbosacral masses, but not fecal incontinence or lack of knowledge about the existing fecal incontinence, and the unbelievable symptoms of clubfoot formation. It is believed that this type of surgery is like a skin lump that can be lifted after surgery by a surgeon, but the possibility of incontinence and sensory impairment in both lower extremities after the doctors tell the patient’s family is unacceptable. As a result, parents are still blindly consulting with their children from two to three months to two to three years old, seeking psychological comfort for themselves. In this regard, according to the psychological summary of parents of children with this disease admitted to our department, we hope that parents of children who are still hesitant to go to a hospital with experience in this disease for surgery, so as not to lose a good window of time for surgery and prevent the aggravation of the child’s symptoms to the incontinence of urine and feces and the disability of both lower limbs. I. Active cooperation. The child is older. The most active cooperation with the surgery and treatment of the parents of the child is the child has obvious symptoms: 1, repeated urinary tract infections (urinary retention) 2, incontinence of urine (filling incontinence is common, intermittent urination) 3, uneven thickness of the left and right lower limbs (thicker support leg) 4, unilateral foot deformity (horseshoe foot, one foot facing inward is obvious, walking on the outside of the foot, calluses (performance). Second, passive to active cooperation. After detailed communication with the doctor, the parents had a general understanding of the disease and then underwent surgical treatment. The parents found that the child came to the clinic with a lumbosacral mass only. The doctor described the child’s medical history through the family, the difficulty in passing stool and the weakness in passing urine; the doctor’s examination of the child, the relaxation of the anal sphincter; the objective detection of residual urine through ultrasound, the degree of adhesions between the cremaster and the lipoma, and the magnetic resonance performance of the bladder size. Inform the family what problems already exist, what the purpose of this operation is, and what the advantages are for the child after the operation is done. Third, passive cooperation. The performance is early detection by the parents of the child and the young age of the child. There was only a lumbosacral skin mass, without any other clinical symptoms, and no abnormality on physical examination. There was no urinary or fecal incontinence, and both lower limbs were normal. The only manifestations were intravertebral lipoma and cremasteric embolism on magnetic resonance. It was difficult to accept the possibility of postoperative incontinence, sensory impairment in both lower extremities, and postoperative reimplantation of the crestal medullary embolism after surgery. Although difficult to accept, but through the doctor’s explanation eventually underwent prophylactic surgical treatment. Fourth, uncooperative. Working families with low family income dominated. The parents know the specific situation of the child, but the psychological blow is heavier after the doctor who does not have the conditions for surgery at the first consultation informs that surgery is not possible. This is because they keep consulting and seeking affirmation from doctors who do not have the conditions for surgery, so that they can agree with the so-called inoperable psychology in their hearts and give up the treatment. And let us, the doctors who know this disease, still can’t bring back the parents’ stubbornness even after all the hard talk, so that they watch these children who can be saved lose their wings. In conclusion, I would like to tell the parents of children with this disease that they should not be afraid of this disease, as the medical technology available today is beyond what was previously available. Our knowledge of this disease has reached a certain level, and the surgical treatment of this disease has certain advantages. For the sake of your child’s well-being and the well-being of your family, seek medical attention as soon as possible. Medicine is not a myth, but medicine is always advancing.