Over the years, I have seen many patients with facial muscle spasms. Many of them are over 65 years old. There has always been apprehension when it comes to surgery, especially for elderly patients, who are worried about the dangers of surgery. Therefore, it is more difficult to choose whether to have surgery for the elderly than for the young. 1. Older people are paying more and more attention to their quality of life:Nowadays, older people mostly refer to patients over the age of 65. For patients in this age group, their children have grown up and are in a retired state at work, without burdens. Enjoying life has become the main purpose of this generation. Therefore, the elderly have a very urgent desire to treat the face pumping problems that plague their lives. 2. On the question of whether to operate or not, children are often not supportive: because, in the children’s opinion, facial twitching is just a little ugly and does not affect their lives. However, if the surgery is a problem, it will be life-threatening. It is understandable that children do not want their parents not to take the risk. 3. How big is the risk of surgery? The risk for the elderly is mainly from their underlying diseases. For example, many people have hypertension, diabetes, coronary artery disease, chronic bronchitis, etc. From our experience of performing surgery on many elderly patients, as long as these diseases are treated seriously before surgery and the body is regulated to an optimal state, the risks are not as difficult as one might think when facing surgery. Therefore, it is most important to work together with the elderly and their children to deal with the preoperative diseases in a thorough manner and help the elderly to have confidence in overcoming the risks of surgery. Thus, the surgery can be completed successfully.