Patient: Description of the condition (time of onset, main symptoms, hospital visited, etc.): The little baby was just born 13 days ago, I found it yesterday, I took her to the hospital today, the doctor said more than a week old to do the surgery, I think how to make the child less painful not to leave sequelae. The first thing you need to do is to get a good idea of what you’re looking for. Clinically, it is often characterized by a neck mass, neck lopsidedness, facial asymmetry and strabismus. The neck mass is usually found after birth and can be palpated in the sternocleidomastoid muscle, 2-4 cm long and 1-2 cm wide, with a hard texture and no pressure pain, and is most obvious in the third week after birth. It is accompanied by a crooked neck and facial asymmetry, both of which are worsening as the child develops the deformity. In addition to the above, the entire face of the child, including the nose and ears, will gradually show asymmetrical development and will be basically fixed in adulthood, at which time the jaw and face will have a more unsightly appearance if surgery is performed. Therefore, the timing of surgery should not be missed, and it is better to finish it before school age. Diagnosis: It is easy to diagnose the dominant deformity, and X-rays are taken to exclude the cervical spine deformity of oblique neck. Treatment: Conservative treatment, mainly clinical observation, application of brace orthopedic, home exercise and gentle traction. There is a consensus that children over 1 year old should be treated surgically, but there is no consensus for children under 1 year old. It is recommended that non-surgical “passive traction exercises” be used for children under 1 year of age. The method consists of 3 main movements: forward flexion, lateral flexion and rotation of the neck. Each of these 3 movements is repeated 10 times in sequence, holding each position for 10 seconds, all before feeding, up to 8 sets per day. In addition, parents can try to motivate the child to actively rotate the jaw to the affected side (by toys, light, sound attraction, etc.), and they should also maintain the correct sleeping position of the child, including left and right lateral and prone positions. With active conservative treatment, some children can avoid surgical treatment. If symptoms are still evident after the age of 1 year, an active pediatric orthopedic outpatient examination and consultation should be conducted to determine if surgical treatment is needed.