Anterior cervical spine surgery, as the name implies, is performed through an anterior cervical approach to expose the cervical spine and remove the compressor from front to back to relieve the nerve compression. If the compressor is a simple disc, then the disc tissue is removed; if the compressor is an ossified posterior longitudinal ligament, then sometimes the central portion of one or more vertebrae is removed; and after removal of these compressors, the spine becomes unstable and spinal stability needs to be reestablished with an internal fixation. When an intervertebral disc is removed, younger patients can sometimes consider an artificial cervical disc to preserve cervical mobility, and for more severe degeneration an intervertebral fusion is currently available to support the intervertebral space, although mobility in this segment will eventually be lost. When a portion of the vertebral body is removed, an artificial titanium cage is needed to support the intervertebral body, and a titanium plate is used anteriorly to improve stability and eventually fuse it together at the expense of segmental mobility. Surgery is a double-edged sword, there are gains and losses, do not need to be too entangled, mainly depending on the relationship between the pros and cons which is greater or lesser.