After two weeks of aggressive treatment, the patient had gained weight to 28 kg (an increase of 4 kg), but the cough had not improved at all, and she felt chest tightness and shortness of breath while doing nebulized inhalation. Secondary bacterial cultures of the sputum showed Acinetobacter baumannii (bacteria resistant to several antibiotics). After discussion within the department, it was decided to stop nebulized inhalation and antibiotic therapy, and to continue parenteral nutritional support in the hope of weight gain of more than thirty kilograms. At the same time, a distal stoma angiogram was performed to visualize the distal small and large bowel. (Surgery may have to be abandoned if there is a lesion or obstruction at the distal end). Two weeks passed by, the patient’s weight increased to 30 kg, and the second angiogram showed that the distal small bowel was still about 25 cm, and the large bowel was undifferentiated. Although the patient’s cough and sputum persisted, it was almost time for our scheduled surgery. However, the choice of surgical plan in front of us became a big problem. If this patient did not have a complex underlying disease, we could have done it laparoscopically. Laparoscopic surgery basically requires general anesthesia, and for this patient, the consequences of possible lung injury after tracheal intubation were unimaginable. In the case of this patient, the possibility of anesthesia failure was always present due to the deformity of his spinal curvature and the difficulty in placing the tube. In the face of difficulties, there is always a skilled person who will appear, which makes me feel that the interpretation of Jin Yong’s book is not surprising in reality. With the support of Director Gui of Anesthesiology Department I (Department of Anesthesiology, Affiliated Hospital of Ningbo University School of Medicine), who is a first-class anesthesiologist in terms of both skills and commitment, the problem was solved. After a comprehensive consultation, the Department of Anesthesiology decided to use epidural. Our department also tacitly decided to use the traditional open surgery. All the preoperative preparations were ready, and the decision was made to operate early on Wednesday morning. The decision was made to operate early Wednesday morning. As this was a big matter, bearing the hope of a family, I made several trips to discuss the patient’s situation with my teacher during this period of time. On the day before the surgery, I went to my teacher early in the morning to report the patient’s situation in detail, with the hope that I could get some kind of support and guidance. (Sometimes doctors facing patients are just doing exams, the only difference is that we can only score 100 points, even if we score 99 points, it may cause adverse consequences to the patient) In the face of my teacher (an old specialist who has been working in the medical field for more than 40 years), out of the teacher’s concern for his students, he still advised me not to do the surgery as much as possible. This person can’t do it if she has a bad cough, unless she has a bad cough for the rest of her life. If you have to do it, talk to the family about the stakes and the worst-case scenario! Got a big splash of cold water. Drove back to the hospital on the way to work with mixed emotions. In this healthcare environment, is it worth it to take a chance on a strange out-of-towner just because of the trust of the patient and family? Success is a must, and what happens if you fail? As a surgeon, there is only helpless courage at this moment.