The only treatment for gastric cancer nowadays is radical surgery to achieve a cure, so I only believe in one pair of hands to solve gastric cancer patients. Of course, other treatments are not excluded, but it should be kept in mind that those such as radiotherapy, chemotherapy, Chinese medicine, immunotherapy, etc. are all adjuvant treatments. Therefore, the surgical treatment of gastric cancer requires special emphasis on the expression of hand skills. Nowadays, there is a trend of thinking that tumor is a systemic disease, and at the same time, it is proposed that the regression of these tiny lesions may not necessarily develop into a large tumor. This is an irresponsible attitude. First of all, large tumors must originate from microscopic lesions, because large masses cannot be born, we can only say that we cannot confirm which microscopic lesions will develop and grow, and the process of development cannot be accurately judged now, secondly, as a surgeon, you should do your best to remove the tumor cell population within your ability. Secondly, as a surgeon, we should try our best to remove the tumor cell population within our ability, so as to maximize the advantages of surgical technology in treating gastric cancer. A surgeon’s surgical skills are practiced, not just talked about. I have always believed that only mature surgical techniques can be used to serve patients, rather than emphasizing the role of equipment, drugs and other hardware. Once I said that our Sichuan Shu brocade technology is good, Lu Ban’s carpentry technology is good, while Europe and the United States are technologically advanced, their stomach cancer surgery is not as good as the Eastern countries, we can find that science and technology have different meanings. The pursuit of technology can reach a high level no matter where it is, as long as there is a conscience to constantly pursue the perfection of technology, a little enlightenment and a relatively large number of patients to maintain this technology. The surgeon’s conscience stems from the pursuit of using one’s superior technique to achieve a relatively ideal outcome for the patient. The pursuit of a good survival of 10-20 years, 5-10 years, 2 years or a few months is based on the specific circumstances of the patient’s illness, and neither the patient nor his family can judge the quality of the surgery. For the surgical treatment of gastric cancer, we need to emphasize that it is different from benign diseases that only have one chance for surgery. For cases where radical resection may be achieved systematic lymphatic clearance should be performed as much as possible, and the results after surgery should be presented as if they were specimens of a tree. I sometimes have eleven gastric cancer cases a week, with an average of 4-6 cases a week. The limit of out-of-hospital consultation surgery reaches that I can travel 1000 km to three hospitals in three days to complete four gastric cancer surgeries, or even a single surgery, because I don’t know the local doctors, just the patient’s contact through the hospital. My feeling from more than 250 gastric cancer surgeries per year is that gastric cancer surgical clearance is like walking a tightrope, there is no risk if you walk it every day, but if you walk it only once in a long time, the risk is naturally increased, and the degree of cure of the surgery is inevitably reduced in order to reduce the risk.