Simple testicular microlithiasis can be observed and followed up, if combined with cryptorchidism, testicular tumors and other diseases will require surgical treatment. If testicular microlithiasis is simple and not combined with other diseases, then no special treatment is needed, but regular ultrasound and other examinations are needed, generally recommended to be rechecked once every six months or so, and if disease progression is detected, it is necessary to go to urology department for consultation in time. If there is a combination of cryptorchidism, testicular tumors and other diseases, timely surgical treatment is needed. Cryptorchidism is feasible for testicular fixation, and testicular tumor is feasible for surgical removal of testicle. If its malignant transformation into testicular malignant tumor, the prognosis of this case is generally poor, therefore, close attention should be paid to the follow-up review. To summarize, if testicular microlithiasis exists, it should seek medical treatment in time.