Difficult and critical cases have always been the main factors seriously affecting the prognosis of patients, with difficult and high-risk surgeries and many postoperative complications, which discourage many surgeons. Not long ago, a colon cancer patient with severe spinal deformity came to Cancer Hospital of the Chinese Academy of Medical Sciences for consultation, and found Prof. Wang Xishan by name. After individualized treatment by the team, the patient is now recovering well and has been discharged from the hospital. Zhang Mou, female, 75 years old, with severe scoliosis deformity of the spine, and suffered from hypertension, diabetes, chronic emphysema and other diseases for many years, not long ago the patient appeared blood in the stool, and then visited the local hospital, and the colonoscopy found that there was a mass of 6cm in size in the right half of the colon, and the pathology was adenocarcinoma. After learning the condition of the patient’s family strongly requested surgical treatment. Subsequently visited a number of hospitals, but were shut out, because of the old man’s age, poor physical condition, underlying diseases, the risk of surgical treatment is so great that all the doctors were deterred from trying. Finally, learned that the Chinese Academy of Medical Sciences Cancer Hospital Professor Wang Xishan, special name to come to the clinic. Seeing the patient, combined with the old man’s various aspects of the examination, Prof. Wang Xishan also had a trace of concern, surgical difficulty is indeed very large, perioperative care is full of challenges. However, if the patient was not treated, the symptoms of intestinal obstruction would surely appear in a short period of time, and then the chance of surgery would be even more remote. In the end, Prof. Wang Xishan’s team decided to perform surgery for the patient, but the patient needed to actively adjust the underlying diseases of various systems, correct the overall status, and most importantly, shorten the operation time as much as possible to minimize the impact of the surgery on the patient. After sufficient preoperative adjustments, the patient finally accepted the surgical treatment. Through the joint efforts and skillful cooperation of Prof. Wang Xishan’s team, the patient successfully completed a transverse incision enlarged radical surgery for right hemicolectomy with less than 50ml of bleeding in the whole surgery in only 60 minutes. because of the short time consuming surgery and small blow, the patient was in good condition after the surgery and was discharged from the hospital on the 7th day of the surgery successfully. According to the professor, as the risk of surgery for elderly colorectal cancer patients is mainly related to comorbidities and underlying diseases, and the relationship with age is relatively not very big, so the existence of comorbidities and coexisting diseases does increase the risk of surgery, and surgery is still the first choice of treatment for most of the elderly patients, so age is not a contraindication to surgery for the elderly patients. In addition, in treating this particular group of patients, the choice of anesthesia, surgical approach and even surgical position is crucial to minimize anesthesia as well as surgical time, and to minimize the patient’s blow, so as to guarantee a smooth postoperative recovery. In this case, the transverse incision approach was also a key factor in the success of the surgery. Because the patient had a severe scoliosis deformity and the abdominal organs were displaced, a conventional longitudinal incision would have made the operation very difficult. A transverse incision does not increase the surgical maneuver, and the postoperative incision is easily sutured with little incisional tension. In the postoperative recovery, the incision pain is relatively light, with less pulling and tightness, and less impact on the patient’s postoperative breathing, which is conducive to the patient’s early departure from the bed. In addition, the transverse incision is made according to the skin texture, hidden in the natural folds and not easy to detect, so the scar is relatively small, and the local pulling of the scar after recovery is relatively light, which is conducive to the recovery of abdominal function. Especially for patients with keloid body, it is very ideal in maintaining the aesthetic appearance of the body surface. At present, due to the increasing aging of the Chinese population, patients with colorectal cancer of advanced age abound. Its complex condition, more concomitant diseases, and high incidence of postoperative complications bring a lot of obstacles to the treatment. However, as a surgeon, we cannot easily give up the opportunity of surgery for patients. As a top-level hospital for tumor treatment in China, Cancer Hospital of the Academy of Medical Sciences should dare to challenge the “difficult of the difficult”, so as to bring the hope of survival to more patients who have no “chance”. Chest X-ray (severe scoliosis deformity), back view (scoliosis deformity), postoperative transverse incision photo.