Bilateral pleural thickening, mild symptoms do not need to do surgery, serious cases can appear pleural heavy adhesion, then need to do surgery. If the bilateral pleural thickening is mild, the symptoms of chest tightness are not obvious or no discomfort, generally with the body’s own compensatory regulation, the symptoms of chest tightness can be gradually reduced or disappeared, there is no need to do surgery. If the pleural thickening is extensive, the intercostal space becomes narrow, the thorax is squeezed and narrowed, affecting the respiratory function of the lungs, and the pleura is seriously adhered, you need to cooperate with the specialized doctor to do the surgery as soon as possible. Whether bilateral pleural thickening requires surgery or not, it is recommended to take into account the actual condition of the patient, the analysis and diagnosis of the professional doctor and the treatment advice to make a decision. It should be reminded that surgical treatment requires a comprehensive analysis of the pros and cons of surgery by a professional doctor to give reasonable advice.