At present, digestive tract tumors have become a high incidence trend, especially more and more young patients, so what kind of surgery is good to choose, which is the confusion of many patients and also the confusion of many doctors. Then we will talk about the advantages and disadvantages of the two surgical methods: to make an analogy, laparoscopic surgery is like repairing underground pipeline compared with traditional surgery, laparoscopic surgery is by drilling holes next to the road, entering the underground, using high-tech means, drilling holes in the ground, laying pipelines, which has a small impact on the traffic and buildings on the road; traditional laparoscopic surgery is like digging up the whole road, laying pipelines at a sufficiently deep level, and then backfilling and re-correcting the road surface. Conventional open heart surgery is like digging up the entire road, laying the pipe deep enough, and then backfilling the road to correct the surface. As you can imagine, traditional surgery is direct, intuitive, traumatic, and has a long recovery time; laparoscopic surgery requires the use of specific tools, high technology, low trauma, and fast recovery. Zhang Bin, Department of General Surgery, Henan Cancer Hospital, the advantages of laparoscopic surgery: 1, multi-angle “inspection”, the effect of intuitive: laparoscopy can be in the abdominal cavity without moving the organs of the premise of the different angles and directions of the inspection, and can even see some of the deep location, to achieve the effect of intuitive inspection to reduce the leakage of diagnosis and misdiagnosis. 2, fast recovery: laparoscopy is carried out in the closed pelvic and abdominal cavities, and it is not necessary to use a special tool for laparoscopic surgery. Laparoscopic surgery is carried out in the closed pelvic and abdominal cavities, which has little effect on the neighboring organs and little interference. The trauma suffered by the patient is far less than open surgery, and the patient will soon recover after surgery, with fewer complications and sequelae.3. Short hospitalization time: the surgery is operated by professional doctors, and the treatment can be completed in a short time without affecting the normal physiological functions, and the patient can return to normal work and life after the surgery.4. Good effect of abdominal cosmetic surgery: traditional surgery scars are in the form of a long line, and laparoscopic surgery does not leave any scars or the scars are greatly reduced, which is especially suitable for the cosmetic needs of young women. 5. 5, reduce the burden on patients: surgery is minimally invasive, less medication, low cost, fast recovery, reduce the burden on patients. So said so many benefits, laparoscopic surgery is everything, no, any surgery has limitations. Limitations of laparoscopic surgery: ① severe cardiac, pulmonary, hepatic and renal insufficiency. ② pelvic and abdominal cavity huge mass: the upper boundary of the mass exceeds the level of the umbilical orifice, the pelvic and abdominal cavity can be operated with limited space, the mass impedes the field of vision, the establishment of pneumoperitoneum or puncture may cause rupture of the mass. ③ Severe abdominal hernia or diaphragmatic hernia: the pressure of artificial pneumoperitoneum can press the abdominal contents into the hernia hole, causing abdominal hernia incarceration. Abdominal contents enter the thoracic cavity through diaphragmatic hernia, which can affect cardiopulmonary function. ④ Diffuse peritonitis with intestinal obstruction: due to the obvious dilatation of the intestinal segments, the risk of intestinal perforation is easily caused by pneumoperitoneum needles or trocar needles during puncture. ⑤ Inexperienced surgeons.6. There is no sense of touch to visualize the texture of the mass. Therefore, for 80% of patients with gastrointestinal tumors, radical surgery can be accomplished via laparoscopy, with small postoperative incisions, light pain, and fast recovery, which has obvious advantages over traditional open surgery. However, the requirements for surgeons are high, and surgeons with rich experience in laparoscopic surgery are needed to complete radical resection of gastrointestinal tumors. This article is authorized by Dr. Bin Zhang.