Left heel calcaneal fracture does not necessarily require surgery, if the condition is mild and conservative treatment is effective then no surgery is needed, if conservative treatment is ineffective, then surgery is needed. 1. Achilles fracture is a common clinical foot fracture. To determine whether the left heel calcaneal fracture should be operated or not needs to be determined according to the actual condition, and cannot be generalized, and there is obvious individual differences in its treatment plan. For patients with mild conditions, who are effectively treated with conservative treatments such as manipulation, medication, plaster or external fixation, there is no need to consider surgical treatment. 2. For patients with serious condition and ineffective conservative treatment, surgical treatment is needed, and common surgical methods include percutaneous reduction and internal fixation, incision and internal fixation, and traction reduction. Usually, after standardized treatment, the prognosis of heel fracture is good, and patients need to actively cooperate with doctors for rehabilitation training. When heel bone fracture occurs, patients need to go to the hospital in time to avoid delaying the condition. At the same time, it is necessary to strengthen the daily life management and regular follow-up.