People with facial palsy often ask the question: My facial palsy is so severe, is surgery the only way to get better? Here I would like to tell you how to treat facial palsy when you have it. There are many kinds of facial nerve palsy, the more common ones are as follows: 1. Idiopathic facial palsy (Bell facial palsy) 2, Herpes virus-induced facial palsy (Hunt syndrome) 3, Traumatic facial palsy 4, Tumor facial palsy. The first two types of facial palsy have a high self-healing rate, and most of them do not require surgery and can be treated satisfactorily with regular and systematic conservative treatment. The latter two types of facial palsy mostly require surgery and should be operated as soon as possible. If the surgery is delayed until facial nerve necrosis or even tumor invasion causes nerve severance, the prognosis will be very poor. The total number of patients with Bell’s facial palsy and herpes virus-induced facial palsy admitted to the outpatient ward of our hospital (the first one in China, founded by Professor Jian-dong Li) is about 2500 every year. Only a few patients with acute facial palsy have poor conservative treatment results, and only those with F-wave (first applied to the treatment of facial palsy by Prof. Li Jiandong in China) and imaging examinations, who have indications for surgery, will undergo facial nerve decompression (mostly the whole process). The early diagnosis of facial palsy and the early treatment (including early promotion of venous reflux, improvement of local microcirculation, anti-inflammatory and anti-edema, physical therapy, etc.) are very important! It is not the case that surgery is required when the symptoms of facial palsy become severe.