Minimally invasive surgery is one of the most popular disciplines with rapid development. With the development of BO biological fixation concept and percutaneous minimally invasive plate fixation (MIPPO) technology in our department, it has brought minimally invasive, less damage, fast recovery and good results to many fracture patients and has become one of the technical characteristics of our department. Not only minimally invasive surgery is chosen for internal fixation implantation, but also minimally invasive treatment is used when taking internal fixation, and good results are achieved. Many patients need surgery to remove the internal fixation about 1 year after the fracture is healed by internal fixation. So can we avoid the previous large original incision? Can we go down to the ground early and avoid the related complications? These are all questions that people are concerned about. Here, we give the answer you want, yes! The patient, Li, had a fracture of the lower leg (tibiofibular), which was fixed with a plate, and came to remove the plate 1.5 years after surgery. On the same day after surgery, the patient was discharged from the hospital 2 days later. It is well known that the greater the extent of tissue stripping, the slower the recovery. Minimally invasive surgery is only a small local incision, the most tissues are less affected, bleeding can be effectively avoided, the chance of infection is reduced, the postoperative scar is small, the skin is more beautiful, and early activity is possible.