People are afraid of talking about cancer, and non-oncologists are afraid of seeing bone metastases, so they often give up treatment and put patients and families into pain and suffering. Metastasis is the characteristic of malignant tumor and also its malignancy. According to the staging of tumor, metastasis is advanced stage. Bone is the third site of malignant tumor metastasis after lung and liver. Bone is the basis for supporting the body and maintaining the body’s motor function, and is not as important as the lung and liver for maintaining life. Therefore, bone metastases, although classified as advanced, are not irredeemable. Average survival: 2 years for breast cancer bone metastases, 2-3 years for lung cancer bone metastases, 4-5 years for prostate cancer bone metastases, and thyroid cancer bone metastases can reach more than 10 years. In general, bone metastases, although not directly life-threatening, cause bone instability and fractures that can cause severe pain, paralysis, and immobility of the limbs. In the longer survival period, it affects the patient’s quality of life seriously and increases the burden of family and society. Common bone metastases include: breast cancer, lung cancer, prostate cancer, thyroid cancer, kidney cancer, etc. Some have bone metastasis after treatment; some have bone metastasis when the primary cancer is found; others have bone metastasis before the primary cancer is found; and some only have bone metastasis but the primary cancer is never found. Bone metastases usually occur in the middle bones, such as the vertebrae and pelvis. The proximal part of the limbs is also a good site. Bone destruction in spinal metastases causes fractures and paraplegia. The fractures caused by long bone metastases in the extremities disable the patient’s ability to move. The patient is confined to bed, suffering in pain and helplessness, waiting for death. Family members can only look at their loved ones in pain and suffer. …… Malignant tumors have been categorized as chronic diseases. Improving the quality of life is the principle of treating middle and late stage tumors. China’s bone tumor community has reached the “Expert Consensus on Surgical Treatment of Bone Metastases in China” in 2008. It is believed that surgical treatment of bone metastases should be aggressively carried out as long as the patient has a survival expectation of 2-6 months. Prophylactic surgical fixation for those at risk of fracture. Aggressive surgical fixation and spinal cord decompression for those who already have fractures. As a specialized bone tumor treatment department in our province, our department has treated many patients with bone metastases for more than ten years, which has reduced the pain and improved the quality of life of the majority of patients. For surgery of bone metastases, we take different approaches depending on the patient: spinal metastases without paraplegia are treated with a minimally invasive method – percutaneous vertebroplasty (PVP). Limited surgical decompression and internal fixation for those with paraplegia. Limited internal fixation is performed for fractures of the extremities. A minimally invasive device is being developed for the treatment of frail patients. Local radiation therapy and systemic chemotherapy after surgical fixation will result in tumor control and enjoyment of an extended life in a high quality of life. Bone metastases are not scary, and they should be treated with early surgical intervention. Surgical treatment is effective, relieving the pain and improving the quality of life. Improved quality of life, peace of mind for the patient and no worries for the family.