The treatment of bone metastatic cancer belongs to palliative treatment, and the core purpose is to eliminate or alleviate the symptoms and improve the quality of survival. Surgery is one of the main methods for treating bone metastatic cancer, but not all patients with bone metastasis need to undergo surgical treatment. But not all patients with bone metastasis need surgery. Then which patients with bone metastasis need surgery? 1.If the bone metastasis occurs in important parts, such as spine, and the risk of compression of nerves and paralysis will occur if it is not handled, then it is recommended to be handled actively. 2.Bone metastasis destroys the bone and causes fracture, the most common are femur, humerus and other positions, also need surgery to fixation, because this kind of fracture is not like traumatic fracture can grow by itself. When there is no fracture, but the bone damage is very big, it is likely that the fracture is about to occur, also should be preventive surgery. 3. If there is only one bone metastasis in the whole body, then aggressive surgery may still give the patient a chance to be cured. Doctor’s tip: Not all patients with bone metastases are suitable for surgery. Patients with poor general condition, multiple metastases in lungs or brain, patients who cannot bear the trauma of surgery are not suitable for surgical resection, and not every lesion with multiple bone metastases in the whole body needs to be surgically resected. All in all, cancer patients with bone metastases should go to specialist bone oncology department for timely consultation, and the doctor will make individualized plan according to the site of primary tumor, pathological condition, previous treatment and age and physiological status.