Laryngeal cancer is a malignant tumor that is highly prevalent in the smoking population, and one of the most common types is vocal cord cancer, where the tumor originates in one or both vocal cords. The first symptom is often hoarseness and difficulty in pronunciation. There is less lymphatic tissue in the vocal folds and its surrounding tissues, so vocal cord cancer is less prone to lymphatic metastasis, so vocal cord cancer is the best type of laryngeal cancer in terms of treatment effect. Therefore, we would like to remind patients that if you have long term smoking and other bad habits and suddenly develop unexplained hoarseness, you’d better go to the hospital as soon as possible and if you are diagnosed with vocal cord cancer, please don’t be stubborn or refrain from treating the disease. The clinical cure rate can be as high as 80%, and the laryngeal articulation function can be preserved to the maximum extent after surgery, and many patients can live a normal life for many years without recurrence after surgery and be cured. On the contrary, if you take an evasive attitude or refuse to operate because you don’t want to accept the reality, the disease will develop rapidly and once the lymph nodes in the neck metastasize, you will lose the best time to operate, even if you sacrifice the function of pronunciation to receive total laryngectomy, you often can’t escape the fate of recurrence and extensive metastasis after the operation.