Whether solar keratosis is surgically treated or not needs to be chosen according to the degree of the disease. If the symptoms of solar keratosis are mild, surgery is not needed, but if the symptoms are more serious, surgical treatment is recommended. 1. Mild symptoms: patients with mild symptoms can be treated with topical adapalene gel, viamin ester Vitamin E cream, imiquimod cream under the guidance of a doctor to improve the treatment and thus promote the repair and healing of the local skin. 2. Severe symptoms: if the patient’s symptoms are more serious and may even be transformed into squamous cell carcinoma, it is recommended to carry out surgical excision treatment in time, which can achieve the purpose of cure more thoroughly. When patients have symptoms related to solar keratosis, such as keratinized plaques, flaking and itching on head, face and back of hand, they should go to hospital for examination and diagnosis in time, and after clarifying the cause of the disease, carry out targeted treatment under the guidance of doctors to avoid delaying the disease and aggravating the symptoms, which will cause serious impact.