Smokey’s disease is an uncommon cerebrovascular disease, but it is a very dangerous one that can have serious consequences. It can lead to cerebral ischemia, cerebral infarction, cerebral hemorrhage, seizures, and more. Many smokers suffer from headaches, dizziness, limb weakness, fatigue, memory loss, slurred speech, etc. Some may suffer from sudden severe headaches, vomiting, fainting, etc., which can cause hemiplegia, disability, and even life-threatening conditions. Many local hospitals do not specialize in the treatment of smog disease. Some local hospitals treat patients with smog disease with simple patch surgery, but the results are not exact. Some patients have asked if headaches after patch surgery for smog disease is a surgical failure. Although it is possible for patch surgery to fail, a headache after surgery is not a criterion for determining that the surgery has failed, only that it is possible. There is a certain chance of failure of the patch procedure, especially in adult patients, about 40% of the population, after the patch procedure can not form neovascularization, and does not work to improve the blood supply. Patients can undergo cerebral angiography about half a year after the patch procedure, which can show whether the patch procedure has been successful, whether it has worked, and whether it has formed neovascularization well. In addition to the patch surgery, the traditional direct bypass surgery also has some problems, such as the limited scope of blood supply improvement. Currently, a more advanced and ideal surgical procedure is the combined vascular bypass surgery, which has been continuously improved and is now very mature. Combined vascular bypass surgery is a new and effective treatment method, which can achieve the ideal result through the simultaneous application of direct bypass and plication, with a two-pronged approach.