Whether minimally invasive or surgical operation is better for esophageal cancer needs to be decided according to the size of lesion, tumor stage, and the doctor’s proficiency, and cannot be generalized. 1. Minimally invasive is better: for those with early stage of tumor and no obvious invasion of tumor cells, minimally invasive surgery is better compared with open-heart surgery. Especially for those with poor lung function, minimally invasive surgery for esophageal cancer is less traumatic, has less impact on lung function, and has faster postoperative recovery, which is conducive to the overall postoperative recovery; 2. Open thoracic is better: open thoracic surgery is relatively more traumatic, but it is suitable for those who have larger tumors and obvious external invasion, or those who are more difficult to operate under thoracic or laparoscopic cavity, have more bleeding and can not be controlled, and need to be relayed to open thoracic surgery. If the doctor’s minimally invasive technology operation is not skilled, open thoracic surgery can also significantly shorten the operation time, for elderly patients can reduce the anesthesia time, which is conducive to postoperative recovery. It is recommended that patients choose the appropriate treatment method under the guidance of doctors according to their own conditions, and actively treat the disease. After the operation, patients should pay attention to proper rest and eat a light diet, and have regular checkups.