What kind of cervical cancer is suitable for surgery Cervical cancer is divided into stage I, stage II, stage III and stage VI, and each stage is subdivided into A and B. For example, stage I is divided into ⅠA and ⅠB, ⅠA is divided into ⅠA1 and ⅠA2, ⅠB is divided into ⅠB1 and ⅠB2, and stage II is divided into ⅡA and ⅡB, etc. Patients with no serious medical or surgical comorbidities before stage IIA1 and no contraindications to surgery requiring surgical treatment are suitable for surgery. However, ⅠB2 and ⅡA2 locally advanced cervical cancer is suitable for neoadjuvant chemotherapy before surgery; or direct synchronous radiotherapy. Is cervical carcinoma in situ and cervical precancerous lesions early cervical cancer? Cervical carcinoma in situ and cervical precancerous lesions are not early cervical cancer. Cervical carcinoma in situ is the most serious cervical precancerous lesions, because almost all of them can be cured by surgical treatment, so the diagnosis of cervical carcinoma in situ has been abolished now, and the original cervical carcinoma in situ is now included in cervical intraepithelial neoplasia grade III. What are the surgical methods The surgical methods for cervical cancer can be divided into the following categories according to the clinical stage, age and requirements for fertility of the patient. Stage IA1: extra-fascial total hysterectomy is feasible for those without fertility requirements. Cervical conization is performed for those with fertility requirements. Follow up at 3 months and 6 months after surgery. If the lymphatic vessels and vasculature are invaded, secondary extensive hysterectomy and pelvic lymph node dissection are feasible. Stage IA2: Radical hysterectomy (type II or III) plus pelvic lymph node dissection is performed. Stage IB1 and IIA1: radical hysterectomy (type III) plus pelvic lymph node dissection. Stage IB2 and IIA2: radical hysterectomy (type III) plus pelvic lymph node dissection plus para-aortic lymph node dissection. It is better to do neoadjuvant chemotherapy first before surgery; or direct synchronous radiotherapy. For stage IB1 tumor less than 2cm and stage IA2 requiring preservation of reproductive function, radical cervical hysterectomy plus pelvic lymph node dissection is performed. Is there any difference between the surgical results of loop electrosurgery (LEEP) and cold knife conectomy (CKC)? There is a difference between the surgical results of loop electrosurgery (LEEP) and cold knife conectomy (CKC), generally speaking, loop electrosurgery (LEEP) is suitable for those with cervical intraepithelial neoplasia grade I persisting for 2 years or cervical intraepithelial neoplasia grade II. Cervical cancer stage IA1 who require preservation of reproductive function and have the condition of follow up. Whether adjuvant therapy is needed after surgery Adjuvant therapy is needed for those with high-risk factors after surgery. High-risk factors for cervical cancer after surgery include positive cut margins, positive lymph nodes, cancerous emboli in blood vessels and lymphatic vessels, nerve invasion; or accidental detection of cervical cancer with insufficient surgical scope. Do we need lifelong follow-up after surgery? What to check and how often Post-operative follow-up time: (1) once every 3 months in the first year of follow-up; (2) once every 3-6 months in the second year of follow-up; (3) once every 6-12 months in the third to fifth year of follow-up; and then once a year. Follow-up: (1) medical history, physical examination, pelvic examination, triple examination; (2) vaginal cytology and HPV test once every 6 months, once every 6-12 months after 2 years, once a year after 5 years; (3) ultrasound, X-ray once a year, whole blood test once every 6 months, urea nitrogen, creatinine, tumor marker SCC test; (4) MRI if necessary , urinary system, gastrointestinal tract examination; (5) PET examination when early recurrence is suspected. Vaginal dilators are recommended after radiotherapy. The above are only suggestions for patients who need surgery before stage 2A of cervical cancer; if you are a patient after stage 2B please see a radiologist.