The best solution for a stuck fish spike is to remove it. If it is at home, open the mouth and press the front 2/3 of the tongue with chopsticks to fully expose the oropharynx and check the tonsillar fossa bilaterally for the fish spike, and if you can see it, just clip it out with forceps. If the fish spike is stuck in the hypopharynx and cannot be seen, go to the emergency laryngology department of the hospital and perform indirect laryngoscopic removal of the foreign body from the pharynx under local anesthesia. If the fish spike is stuck deeper than can be fully exposed due to a heavy gag reflex and the patient is unable to cooperate and cannot be removed, the stuck fish spike can be found in the pharynx with a fiberoptic laryngoscope, grabbed with a biopsy forceps and removed. In a very small number of patients, the fish spike is stuck in the esophagus, and the fish spike stuck in the esophagus has to be removed under gastroscopy.