What a cute little Yuxuan! Eyes that talk, naughty age, elfin. 8 years old, weighs only 19 pounds, seven years old due to a history of tracheal tumors! Repeated infections, pneumonia, constant coughing. Dropped out of school after two first grades. He was diagnosed with a tracheal papilloma at several children’s hospitals and tertiary hospitals in Hangzhou, Shanghai and Beijing. Repeated laser, electrocautery, freezing, expansion and other treatments, ate a lot of pain, suffered a lot, but repeated treatment caused severe scarring, tracheal softening, resulting in a high degree of narrowing of the lower part of the trachea, a week before the operation suddenly suffocated, as a last resort, tracheal intubation ventilator mechanical ventilation. After tracheoscopic treatment, he was finally taken off the ventilator. However, there is still a possibility of sudden asphyxiation at any time. Parents are workers, many years ago from their hometown in Jiangxi Province to work in Zhangjiagang, Jiangsu Province, a few years for his treatment, has spent hundreds of thousands of dollars, the mountain is exhausted, still do not see the hope of a cure. Thanks to the Beijing Coal Hospital, Wang Hongwu, president of the treatment to save him in the process, and introduced him to the Jian Gong Hospital to continue to seek treatment. It should be noted that we are adult thoracic surgery, no pediatric surgery qualification. However, who can receive treatment in the domestic children’s hospital? He had already traveled to places like Shanghai and Beijing, did he have to travel all over the country? When I was in the First Hospital of Peking University, I did a lot of pediatric thoracic surgery. At that time, the division of specialties was not too subtle, and the Peking University Hospital had a Department of Pediatric Surgery but not a Department of Pediatric Thoracic Surgery, so we took care of both. In recent years, we have treated several pediatric tracheal stenosis patients in order to save lives, but there is no child like XiaoYuXuan, who is 8 years old and weighs only 38 pounds. In short, we have good reasons not to accept the treatment. But the conscience of the doctors prevented us from making such a decision. Because as far as we knew, there were too few doctors in China who could treat such a disease, and if we didn’t operate on him, it was very likely that he would asphyxiate and die. The family also fully understood the prospect of not seeing hope, not getting well, and running out of money! We reported this dilemma to the hospital leadership. After careful discussion and many communications with the family, the family’s understanding, the family’s determination, and the family’s request. We decided to do our duty as doctors. So, after consultation and discussion with anesthesia respiratory ICU pediatrics and other related departments, multiple surgical options were prepared and surgical treatment was performed on an elective basis. The lesion was in the lower part of the trachea near the rump, and CT showed a crescent-shaped trachea with a mass protruding within the lumen, and the trachea was also significantly narrowed. At the time of surgery, we prepared several sets of intubation tubes and a special catheter for pediatric tracheotomy. After opening the chest, the stenosis was found and the trachea was cut. Unexpectedly, the distal end of the severed trachea was only a small eyelet slightly larger than a green bean, with a diameter of about 3mm, and the prepared tracheal tube could not be inserted into it at all. The child’s tolerance to oxygen deprivation is extremely poor, the time difference is slightly longer, will be cardiac arrest! At this point, we can only cut into the lateral wall of the trachea to enlarge the diameter of the tube. Luckily, it didn’t take too long to get the anesthesia intubation problem solved. However, the intubation was deep and shallow during the operation, and the child’s oxygen saturation was high and low due to the operation. Doctors on and off the stage kept a close eye on the monitoring equipment, adjusting the position of the intubation and the progress of the operation from time to time. After more than 2 hours of grueling surgery, the stenotic section of the trachea was finally completely removed and the trachea was anastomosed to the left and right bifurcation of the main bronchus! The surgery was complete! As the surgery went well and was completely successful, the tracheotomy that was planned to be done was abandoned and further injury was avoided. After the surgery, little Yuxuan, who was afraid of pain at first, didn’t dare to move much yet. But gasping for breath was never painful! Three days later, after all the drains were removed, he couldn’t stay in bed any longer. When he first got out of bed, he still moved carefully step by step. After a few minutes, when he realized that everything was over, he took the doctor in charge by the hand, took the elevator downstairs and walked to the kiosk to have a cold drink. Now he was already running around upstairs and downstairs like a child of his age, to the extent that his parents were still a little worried and were telling him to slow down, slow down, slow down. But he has been completely unrestrained to play. Looking at the healthy and lively little Yu Xuan, we are sincerely happy, but also thanked the relevant departments of the hospital for their strong support and the close cooperation of all departments. Harmonious society should be so! How to be a doctor in the face of difficult problems, so difficult.