The question of whether myocardial ischemia caused by myocardial bridges requires surgery cannot be generalized, and usually depends on the severity of myocardial ischemia caused by myocardial bridges, or the accompanying symptoms of the patient. In patients with symptomatic myocardial bridges, or patients with significant atherosclerotic-type plaques at the myocardial bridges, surgery should be considered if the lumen of the coronary artery is narrowed, occluded, and the plaque is dislodged, or if the plaque is significantly unstable, with a blockage rate of more than 75%. Surgery includes two types of procedures, usually myocardial bridge resection and coronary artery bypass grafting, and the choice of surgical treatment is based on the patient’s specific situation. If the myocardial bridge causes less severe myocardial blood supply deficiency, the patient will only appear certain clinical symptoms after usual exertion or excessive exercise, and there is no obvious coronary artery atherosclerosis plaque, then surgery is not required.