Different conditions of otosclerosis, different surgical methods, can not be generalized to determine whether major or minor surgery. Currently there is no clear and effective treatment of otosclerosis drugs, can be based on the specific conditions of the surgical stapedectomy foot plate windowing surgery, bone anchored bone conduction hearing aid implantation in the inner ear windowing surgery to treat. Stapedectomy requires the use of a microscope or otoscope to operate into the delicate inner ear on the stapes base plate, so the surgery must be very delicate, which can easily lead to inner ear damage and requires high operating skills from the surgeon. At the same time, stapedectomy is not a minor operation because of the strict selection of cases and the many contraindications to surgery. Inner ear opening surgery is generally bone-anchored osteoconductive hearing aid implantation, the titanium screw is screwed into the skull first, and the patient fixes the hearing aid to the titanium screw, which is shaped like a back-of-the-ear hearing aid. Its direct contact with the bone overcomes the influence of skin and muscle on traditional bone-conduction hearing aids, and improves sound quality. A small window is created in the bony semicircular canals to reroute sound waves into the inner ear, which is suitable for patients with facial nerve malformations. Inner ear windowing is usually a relatively minor procedure that does not require the removal of necrotic tissue and faces fewer risks. This procedure is less difficult but has narrower indications. It is recommended that otosclerosis patients consult a professional doctor in advance, if suitable for surgical treatment, should be standardized under medical advice should go to a professional hospital, so as not to cause adverse consequences due to irregularities in surgical operations.