The contraindications to double eyelid removal are that people with certain diseases and some special populations are advised not to undergo this operation. Eyelid removal is an invasive surgical operation, so patients with bleeding tendencies, active and progressive diseases of the heart, lungs, liver, kidneys and other vital organs, as well as patients with high blood pressure should not undergo this operation. Moreover, patients with uncontrolled diabetes mellitus and infectious diseases should not undergo double eyelid surgery, taking into account the recovery of the surgical incision after the operation. In addition, patients with congenital amblyopia or strabismus, patients with infectious diseases of the inner or outer eye or the periocular area, and patients with facial nerve paralysis with incomplete lid closure should not undergo double eyelid surgery. Women who are menstruating or pregnant, people with scarring and allergies, and children under the age of 12 should not undergo double eyelid surgery. Prior to eyelid surgery, patients need to communicate with their surgeon and have the correct knowledge and mindset that improvement in appearance cannot be achieved through blepharoplasty alone.