Every time I meet many patients with breast lumps in the clinic, their main concern and most frequently asked question is: Do I need surgery for my condition? Can I postpone it for a while? Is it possible to do without surgery? When is the right time to do it? In fact, this is a professional question of whether surgery is indicated and the timing of surgery. Some of the clinical patients with breast lumps are actually found by ultrasound, which is not easily detected by clinical palpation, so the patients are not very nervous. If the ultrasound indicates low echogenicity, irregularity or intact envelope, or blood flow signal, or high elasticity coefficient, or tendency of growth, this should be a clear indication for surgery. If the ultrasound suggests a multiple solid nodules, then we can carry out a short period of comprehensive treatment by Chinese medicine, and if the nodules disappear on the rechecked ultrasound, we can skip surgery; if there are still individual nodules present, surgery is still necessary. Because conservative medical treatment is ineffective, it proves that the nodule is growing, which is an absolute indication for surgery. The removal of the lump, on the one hand, removes the lesion, and on the other hand, obtains a clear pathological diagnosis, which also gives direction to the prevention of breast cancer in the future. As a professional breast surgeon, it is crucial to determine whether the patient is at high risk for breast cancer; if there are signs of high risk in this group of patients, timely surgery is a must. If there is a combination of severe pain in both breasts, significant edema in the gland and high estrogen level, it is more reasonable to control the excessive growth before surgery because it can reduce the recurrence rate after surgery. If the patient has a heavy ideological burden, it is important to operate in time so as to substantially relieve the breast symptoms and reduce unnecessary ideological entanglement, which may aggravate the disease. The state advocates the principle of breast cancer prevention, which is early detection, early treatment and early prevention, in order to reduce the incidence of breast cancer, which is the best way to prevent breast cancer at present. However, the patient may not take the doctor’s advice due to the fear of surgery or the feeling that it does not matter for the time being, and only when the lump becomes hard or bigger or the armpit becomes uncomfortable a few months later, the patient goes to the hospital for surgery, but it has already become a malignant tumor by then. All regrets have lost their effect! You can only bear this great misfortune by yourself. Therefore, once the indication for surgery appears, timely surgery is a must so that breast cancer can be effectively prevented and can really be free from harm. Malignant diseases, which cannot be malignant at the first onset, are transformed on the basis of benign diseases; if you can get surgery and related treatment in time at the stage of benign diseases, and truly achieve the principle of combined Chinese and Western medicine treatment advocated by the state, and establish a strong concept of breast cancer prevention, you will definitely control the excessive incidence of breast cancer.