Carotid artery epicardial stripping is also called Free and excision of sympathetic plexus Of common carotic artery (FES-CCA procedure for short). The mechanism of the treatment of cerebral palsy by FES-CCA is that after the sympathetic nerve network inside the outer membrane is removed during the stripping process, the blood flow of the common carotid artery increases, the microcirculatory ischemia of brain tissue improves, and the establishment of collateral circulation is promoted, so that the function of brain cells in a critical state can be restored, thus achieving the purpose of treatment. At the same time, the improvement of cerebral blood supply increases the excitability of the cerebral cortex and improves the cortical function, which leads to the relief of symptoms. Clinically, it can comprehensively improve brain function, enhance intelligence, memory and language ability, reduce muscle tone of limbs (especially upper limbs), and can relieve symptoms such as slurred speech, inflexible hands and feet, unstable walking and drooling in children with cerebral palsy. Clinical indications for carotid artery epicraniectomy include cerebral palsy caused by torsional spasticity, speech, mental retardation, tension spastic palsy, spastic palsy caused by nuclear jaundice, ataxia, and hyperactivity, etc. The earlier the timing of surgery, the better, usually after 2 years of age. In patients who have undergone CCA surgery their overall postoperative efficiency is as high as 93.2%, with most patients feeling a reduction in limb spasticity, improvement in limb spasticity and overall function. According to statistics, the shortest postoperative efficacy appeared in 1 d. Most patients began to have reduced limb spasm, improved gait, reduced or disappeared salivation, clearer speech than before, reduced or disappeared food choking and coughing, and different degrees of improvement in intelligence from 2 to 3 d postoperatively. It is also necessary to combine the cooperation of family members and good rehabilitation training combined with clinical guidance in order to make patients receive scientific and reasonable treatment.