When it comes to brain tumors, the incidence of which is not high, people are very unfamiliar with them, which can lead to “talking about brain tumors”. It is worthwhile to talk about how to properly face brain tumors, from choosing the proper treatment to a good mindset. Benign Brain Tumors: Medical Experience Determines Prognosis The most common benign brain tumor is meningioma, followed by nerve sheath tumor. Due to the availability of imaging technology, the detection rate of benign brain tumors is increasing. The first question that needs to be addressed for benign brain tumors is whether the brain tumor needs to be treated, followed by what method of treatment to choose. In fact, the most critical question is who needs to decide on the treatment options for benign brain tumors. The residency training system in the United States has resulted in a relatively balanced level of physicians in the United States, and the difference between seeing a doctor in Maryland and seeing a doctor in North Carolina is not particularly large. In China, excellent medical resources are concentrated in the north, take Beijing Tiantan Neurosurgery, the annual volume of nearly 10,000 brain tumor surgeries makes everyone accumulate rich treatment experience, and it is easier to make reasonable treatment plans, which is unmatched by ordinary municipal hospitals. This is also the reason why people go to “big hospitals” when they find brain tumors, and experience plays a decisive role in making decisions for benign tumors. Malignant brain tumor: comprehensive treatment is needed after surgery Glioma is the most common malignant tumor, whether it is astrocytic glioma or glioblastoma, because the tumor grows like a tree root, it brings great difficulty to total resection, just like a handful of sand spilled into the noodle tank, as long as the tumor cells are left, it will recur. This is why radiotherapy and chemotherapy are still needed after surgery to achieve maximum resection. Glioma is a worldwide problem. The son of Vice President Joe Biden died this year of glioblastoma, and despite the cost of treatment, the life of this rising political star was not saved. Glioma requires more effective treatments. Clinical trials are now in full swing with the sole purpose of prolonging the lives of glioma patients. The role of neuro-oncologists in the comprehensive treatment of malignant brain tumors will become increasingly evident. Brain tumor of intermediate nature: regular review is most important What is brain tumor of intermediate nature refers to those tumors that are benign but cannot be fully resected; not malignant but pathology suggests a tendency of malignant transformation. In the case of rock oblique meningioma, the tumor was fully resected by imaging after a difficult surgery for most of the day, but it is impossible to remove all the dura mater at the base of the skull, which makes the tumor recurrence possible. For this type of tumor, it is important to go for regular review. Although we all hope that the tumor will not recur, but what if it does. Early detection of some changes in the tumor and early intervention are still needed for brain tumors of intermediate nature. Mindset determines the overall outcome The mother of an American friend discovered intracranial lymphoma. After treatment, although stable, the family could not complete daily care and the patient was admitted to a nursing home, where she would spend the rest of her life. The elderly woman was very open about her life. No matter the patient’s mentality or the family’s mentality will have more or less influence on the treatment process, no one wants to see a bad result, but in front of the disease, we are small in most cases and must look at life calmly and objectively, we are all in a hurry to pass through life, and birth, old age, sickness and death are natural laws. Only with the right attitude can we face diseases with ease. Conclusion We face brain tumor patients and their families every day, at work, in emails, and in WeChat groups. Brain tumors have taken up most of the lives of brain surgeons, and our mission is to solve the simple but complex problem of “what to do if you have a brain tumor”. If we say it is simple, it may take 1-2 minutes in the clinic; if we say it is complicated, it may make patients and us frown and not smile all day long. Brain tumor treatment and research are continuing, and new treatments are springing up all the time. Carrying hope on our backs, we walk together, believe in ourselves and embrace miracles.?