There is a common situation that people keep looking for a hospital to find a doctor when treating diabetic foot ulcers from the very beginning, but in the end, it is simply uncontrollable and people go to many different departments without a specialist doctor to treat the patient. In fact, this highlights the problem we urgently need to solve at the moment – the lack of specialist doctors! In talking with many of my fellow physicians, we all agree that debridement is critical to the treatment of difficult-to-heal wounds such as diabetic foot, but getting it right is not a simple task! In my opinion, one of the problems why there is a shortage of doctors is on top of debridement! Why? First, debridement tends to bring about strong physiological reactions. Although many doctors have rotated through different departments, they do common procedures. For diabetic foot ulcers are different, often accompanied by deep tissue infection and necrosis, the decaying tissue emits a pungent odor, and some patients also have maggots, any doctor will inevitably have a bad reaction to see this scene, so this also leads to few doctors are willing to clear the patient. Second, the risk of vulnerability and liability is relatively large. It is important to know that many diabetic foot patients are elderly, poor physical condition, cardiovascular disease, and some need anesthesia, the risk of accidents in the debridement surgery is relatively large. In the current tense doctor-patient relationship, there is a lack of doctors willing to take the risk of clearing the patient, but often “it is not a matter of concern”. Third, debridement is a very tiring physical job. For example, for more serious patients, doctors have to spend one or two hours or even half a day to clear the wounds, sometimes standing up, sometimes half squatting, which requires a lot of physical strength. Treatment is not one or two patients, a day down the doctor’s whole person is very hard to bear, do you want to do it for everyone? Fourth, it’s not the end of the debridement. The treatment of diabetic foot is a series of treatment, in addition to debridement, infection control, improvement of circulation, nutrition of the wound and promotion of granulation growth, etc., so it requires real-time communication between doctors and other doctors. Nowadays, the communication mechanism between most hospital departments is not perfect, and it is relatively troublesome to communicate if you are not in the leading position. There are many doctors who contacted me confidently at the beginning to learn the treatment of diabetic foot and decided to devote themselves to the business of diabetic foot treatment, but later they quit and became discouraged. I can’t blame them for this, as it is due to the characteristics of diabetic foot treatment. But we have reason to believe that this situation will definitely improve and more doctors will be willing to devote themselves to the business of diabetic foot treatment.