Major surgery for spinal cervical spondylosis mostly refers to open surgery, and minimally invasive surgery is good in cases where it can get rid of diseased tissue. Minimally invasive surgery of the cervical spine, most often performed with the assistance of an endoscope or tubular retractor, has the advantages of a shorter operating time, relatively fewer surgical risks, less bleeding, and less postoperative pain. However, minimally invasive surgery removes less tissue and may result in incomplete treatment. Open surgery of the cervical spine has a large incision area, long operation time, relatively high risk, more bleeding as well as heavier postoperative pain, but the treatment is more thorough. Open surgery is more often used for patients who have poor results from minimally invasive surgery or who have a combination of diseases such as tumors. Surgery for spinal cervical spondylosis, whether minimally invasive or incisional, is at a higher surgical level, and it is recommended to choose the appropriate surgical method under the guidance of the doctor.