Pear-shaped muscle syndrome means that it can be treated by minimally invasive surgery or open surgery. Both surgical methods can achieve the purpose of treating the disease, and it mainly depends on which treatment option is preferred. Minimally invasive surgical treatment can be considered if less damage and smaller wounds are required, and minimally invasive surgical treatment causes less damage to the muscles, so recovery is faster. Minimally invasive surgical treatment is more demanding on the operator, and open surgical treatment can be done if there is no wound or degree of injury required. Although open surgical treatment has a large wound, it can solve the problem of nerve entrapment under direct vision, so the treatment is more complete.