Whether an 80-year-old patient is treated surgically or not should be analyzed in the light of the patient’s specific condition, physical status, and the patient’s wishes. Early stage of the disease and physical condition allows surgery, on the contrary, surgery is not recommended. 1. Specific conditions: If the patient is in the early or middle stage of the disease, radical surgery is usually performed to remove the lesion and some of the surrounding healthy tissues, and minimize the chance of recurrence and metastasis of the lesion after surgery. If the patient is in an advanced stage of the disease, surgery can also be performed if the patient is in good health. Surgical program does not necessarily take radical surgery, may just take palliative surgical measures to remove the lesion, the serious condition of the patient, may also be taken to fistula, relieve defecation. 2. Physical condition: If the patient’s physical condition is good enough to tolerate surgery, surgical treatment is still recommended. After removing the lesion, it can improve the patient’s quality of life, and can also avoid the continued development of the lesion. If the physical condition is poor, temporarily unable to tolerate surgery, can actively conservative treatment, when the conditions of surgery, and then consider whether to operate.