Gastric perforation is not self-healing. Gastric perforation is an injury to all four layers of the stomach wall (including the mucosal, submucosal, muscular, and plasma layers) penetrating into the abdominal cavity. Gastric perforation is a type of acute abdomen, which has a rapid onset and progresses quickly. Minor perforations can be treated conservatively, although most patients require surgery. Common causes of gastric perforation include gastric ulcer. Clinical manifestations are severe abdominal pain, persistent, accompanied by fever, and even shock manifestations such as panic and blood pressure drop. Gastric perforation can be categorized into acute gastric perforation and chronic gastric perforation, and most of them cannot be self-healed. Acute gastric perforation can be cured by conservative treatment and surgery; chronic gastric perforation usually does not have severe abdominal pain, usually manifested as abdominal discomfort after meals, forming local inflammation, most of them need surgery, and the prognosis is slower. If gastric perforation is found, it is recommended that patients go to the hospital in time for early and regular treatment to prevent the condition from progressing and serious complications from occurring.