Gastric ulcer bleeding is mainly due to the destruction of gastric mucosa, leading to gastric blood vessel rupture, causing gastric ulcer bleeding, whether surgical treatment is needed, need to be decided according to the severity of gastric ulcer bleeding. When the gastric ulcer bleeding is light, only a slight capillary expansion bleeding, this time actively taking acid-suppressing drugs, anti-inflammatory drugs can be, do not need surgical treatment. If the gastric ulcer bleeding is more serious, the bleeding site is the large blood vessels in the stomach, the bleeding is more urgent, the bleeding volume is larger, then emergency surgery is needed to ligate the bleeding blood vessels, to improve the blood supply of the stomach, and to reduce the bleeding of the gastric ulcer. Therefore, whether gastric ulcer bleeding needs surgical treatment or not needs to be decided in the light of the patient’s specific situation and the severity of gastric ulcer bleeding.