Can pediatric cerebral palsy be treated with surgery or not? From the current clinical statistics, we found that nearly 80% of children with cerebral palsy can be treated with surgery. However, we would like to emphasize that the scientific treatment principle of cerebral palsy is to combine surgery and rehabilitation. In the past, we found that many families of children with cerebral palsy often wasted a lot of money and did not find the right treatment path, and unfortunately, the best time for treatment was missed. To address this situation, it is necessary to remind parents to propose the right choices for the whole process of treatment in order to avoid unnecessary waste and to choose the best treatment pathway to better grasp the timing of surgery. After the correct diagnosis of cerebral palsy, we should immediately adopt a positive attitude to early treatment, which is mainly based on rehabilitation training in the early stage, and some medication can also be applied. Parents’ active training can promote the baby’s ability to adapt to the environment, and family rehabilitation and community rehabilitation should be the main means of cerebral palsy rehabilitation. Because the motor system of infants and young children is at a developmental stage, if the motor abnormalities of children with cerebral palsy are detected at an early stage and corrected early, better results can be easily achieved. Moreover, if functional rehabilitation training is provided to children with cerebral palsy in a timely manner at an early stage according to the laws of motor development, it can gradually promote them to produce correct movements. If the early active non-surgical treatment is ineffective or the efficacy is unstable, we should perform surgical intervention as early as possible. This is because as children with cerebral palsy age, the spastic muscles have difficulty synchronizing with the growth of the bones, and various progressive deformities develop. If surgical intervention is performed in a timely manner based on rehabilitation training, the development of deformities can be avoided until they cause excessive disability. For example, in spastic cerebral palsy, experts in cerebral palsy surgery at home and abroad currently advocate that various forms of spasticity release surgery (FSPR) treatment, muscle strength and muscle tone adjustment surgery (including various types of tendon lengthening and tendon severing surgery, etc.) can be performed at around 2.5 years of age, but the latter must be performed in stages under the premise of adequate spasticity release, otherwise recurrence of spasticity is unavoidable, long-term efficacy is poor, making The surgery will also cause people to doubt the efficacy of the surgery and be reluctant to undergo it, making it more difficult to carry out the work. Not long ago, a 3-year-old child with spastic cerebral palsy was treated at our center. Due to the disease, the child’s muscles in both legs were atrophied and he could barely take a step. This time, we used endoscopic-assisted FSPR, and with the role of multi-lead electrophysiological monitoring, we applied intraoperative continuous recording of EMG and somatosensory evoked potentials of multiple muscles of the limbs, and spinal evoked potentials to make the operation more scientific and objective, avoiding empirical surgery and subjective factors that determine the proportion of posterior roots, minimizing the risk of surgical complications and further improving the efficacy of the operation. This method allows for a comprehensive decrease in muscle tone and improves balance function. This approach is much more accurate for understanding the nerve supply stem and variation, and therefore results in a smaller incision and better postoperative outcome for the patient. Due to various factors, a gradual increase in the number of children with cerebral palsy has been found in clinical practice in recent years. According to statistics, about four thousandths of children with cerebral palsy appear every year worldwide. This part of children with cerebral palsy has a serious lack of self-care ability, which brings a heavy burden to families and society. Spastic cerebral palsy is the most prevalent type of cerebral palsy, with the typical symptoms of walking on tiptoe, scissor stance and heel strike. For the treatment of spastic cerebral palsy, it is important to adhere to the principle of combining surgery and rehabilitation. It is not objective or scientific to emphasize that a certain method is miraculous or that the application of a certain technique will bring a once-and-for-all effect. There are ways to treat cerebral palsy, and it is important to have a positive attitude and not to be pessimistic and disappointed, losing confidence and causing lifelong regrets. The key is to adopt the most suitable method of intervention at different stages in order to receive the best results. The FSPR cerebral palsy surgery we are currently using is to comprehensively adjust the muscle tone of patients with cerebral palsy by treating the posterior roots of the spinal nerves, so that the muscle tone of the spastic muscles is as close to normal as possible. It can provide a long-term, stable and complete solution to the patient’s painful muscle spasms, and the surgery is most suitable for spastic cerebral palsy. Generally speaking, FSPR surgery can be done when the spastic cerebral palsy patient is 2.5 years old. Early surgery will be more ideal for children with spastic cerebral palsy, as these patients have no major intellectual problems and can cooperate well with parents to do family rehabilitation after surgery, which is quite ideal. Finally, we would like to reiterate the importance of post-operative rehabilitation for cerebral palsy. For children with cerebral palsy, the improvement of prone leg raising is the result of the increase of the control ability and muscle strength of the hip and knee extension muscles, and the improvement of squatting and standing is the result of the increase of the control ability and muscle strength of the knee extension and ankle flexion and extension muscles. Therefore, after surgery to release spasticity and reduce muscle tone, timely and reasonable rehabilitation training can effectively enhance muscle strength, muscle group coordination and overall control.