Surgery can be done for congenital spina bifida, but not all patients need it, and it needs to be judged in conjunction with the symptoms and so on. Asymptomatic congenital spondylolisthesis generally does not require treatment. If symptoms are obvious, treatment is required, such as flaccid paralysis of the lower limbs of varying degrees, anal and bladder sphincter dysfunction and spinal dural sac is thin, and the sac cavity is gradually enlarged, with the risk of rupture or has already been ruptured, then surgery is required at the earliest possible time. Infants with thicker cystic walls and small masses without obvious abnormalities of bilateral lower extremity movement can be treated surgically when they can tolerate surgery. Congenital spondylolisthesis should be treated promptly in a regular hospital, and the doctor will determine whether surgical treatment is needed according to the specific condition.