People talk about cancer, non-oncologists see bone metastases, often give up treatment and put patients and their families into pain and suffering. Metastasis is the characteristic of malignant tumors, which is also the place of its malignancy. According to the staging of tumor, if there is tumor metastasis, it belongs to advanced stage. Bone is the third part of malignant tumor metastasis after lung and liver. Bone is the foundation for supporting the body and maintaining the motor function of the organism, and it is not as important as lungs and liver for maintaining life. Therefore, although bone metastases are categorized as advanced stage, they are not irredeemable. Average survival: 2 years for breast cancer bone metastases, 2-3 years for lung cancer bone metastases, 4-5 years for prostate cancer bone metastases, and more than 10 years for thyroid cancer bone metastases. In general, although bone metastases do not directly affect life, they cause bone instability and fractures that can cause severe pain, paralysis, and immobility of the limbs. In the longer survival period, it affects the patient’s quality of life in a long-term and serious way, and aggravates the burden of family and society. Common bone metastases include: breast cancer, lung cancer, prostate cancer, thyroid cancer, kidney cancer and so on. Some patients have primary cancer first and then develop bone metastasis after treatment; some patients have bone metastasis when primary cancer is found; some patients have bone metastasis before primary cancer is found; and some patients only have bone metastasis but never find the primary cancer. Bone metastases are most common in the central axis bones, such as vertebrae and pelvis. The proximal part of the limbs is also a good site. Bone destruction in spinal metastases causes fractures and paraplegia. Fractures caused by long bone metastases in the extremities cause patients to lose their mobility. In all these cases, the patients can only stay in bed and suffer in helpless pain, waiting for the arrival of death. Family members can only watch their loved ones in pain and suffer from mental anguish. …… Malignant tumors have been categorized as chronic diseases. Improving quality of life is the principle of treating middle and late stage tumors. China’s bone tumor community has reached the Chinese Expert Consensus on Surgical Treatment of Bone Metastases in 2008. It is believed that surgical treatment of bone metastases should be aggressively pursued as long as the patient has a survival expectation of 2-6 months. Prophylactic surgical fixation for those at risk of fracture. Active surgical fixation and spinal cord decompression for those who already have fractures. As a specialized department of bone tumor treatment in our province, we have treated many patients with bone metastases by surgery for more than ten years, which has alleviated the pain and improved the quality of life of the majority of patients, and there are many patients who have survived for more than 5 years. For the surgery of bone metastases, we adopt different methods depending on the patient: spinal metastases without paraplegia are treated with minimally invasive method–Percutaneous Vertebroplasty (PVP). Those with paraplegia were treated with limited surgical decompression and internal fixation. Limited internal fixation is performed for extremity fractures. A minimally invasive instrument is being developed for the treatment of frail patients. Surgical fixation followed by local radiation therapy and systemic chemotherapy will result in tumor control and enjoyment of an extended life in a high quality of life. Bone metastases are not scary, bone metastases should be surgically intervened as early as possible. Surgical treatment is effective, relieves pain and improves quality of life. Improved quality of life, peace of mind for the patient and no worries for the family.