A week ago, a Mr. Tao from Maanshan, Anhui Province, was successfully discharged from the hospital. The patient had had liver cancer removed and was suffering from many diseases. He had been treated at a local hospital, a famous hospital in Jiangsu Province and a hepatobiliary hospital in Shanghai, etc., but had not received effective treatment. After consultation, he believed I could completely and thoroughly relieve his pain, so he brought his mother all the way to Guangzhou and found me. After a comprehensive and careful examination, the four diseases he suffered from were diagnosed clearly in less than two days, and after adequate preoperative preparation, delicate surgery, and comprehensive perioperative treatment, he quickly recovered and was discharged from the hospital. The details are described below. Huang Gang, Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Guangzhou Medical University, Guangzhou, China. He was admitted to the hospital on March 9, 2011 due to “left hepatocellular carcinoma one and a half years after surgery and epigastric pain for about two months”. The patient underwent hepatectomy for liver cancer at Shanghai Oriental Hepatobiliary Hospital about one and a half years ago and was discharged from the hospital after the operation without any problems. He had been under regular review locally. About two months ago, he felt pain in the upper abdomen, mainly distension, occasionally colic, and the attack was related to the change of position, and the pain could be relieved by curling the body. Hospital in Nanjing, Jiangsu Province and a hepatobiliary hospital in Shanghai, etc., were not effectively treated, and the patient felt that his condition was complicated, and the doctors in the above hospitals only noticed a certain aspect of it, which was very limited and one-sided, with a narrower knowledge and could not solve his pain. So, the patient inquired online, asked his friends, and finally found Dr. Huang Gang (the author), a hepatobiliary surgery expert known for his “comprehensive technology, rigorous style, fine surgery, small surgical trauma, few complications, and excellent efficacy”. After contacting me directly, introducing his condition and asking questions about it, he believed that I would be able to help him get rid of his pain and completely restore him to normal. So, he decided to go to Guangzhou for treatment. On March 9, 2011, full of confidence, he came all the way to Guangzhou with his mother and found my hospital, the First Affiliated Hospital of Guangzhou Medical College. After a detailed and comprehensive inquiry into his condition and a careful physical examination, it was immediately decided that his abdominal pain was not caused by gallbladder stones, but by gastrointestinal diseases, as well as diseases such as abdominal white line hernia. After hospitalization, in order for the examination to fully reflect the patient’s condition and accurately determine the condition of the gallbladder and hernia, I personally took the patient to the color ultrasound room and CT room, etc., and gave an explanation to the doctor doing the examination and examined him together. On the second day after hospitalization, a gastroscopy was done and confirmed my judgment: multiple ulcers in the duodenal bulb and chronic superficial erosive gastritis. Thus, the four diseases he was suffering from were diagnosed clearly in less than two days. After thorough preoperative preparation, the complexity, danger and difficulty of the operation were fully estimated, and a detailed surgical plan was formulated. The surgery was performed under general anesthesia on March 16. As the patient had undergone liver resection, the abdominal cavity was severely adherent, the greater omentum was severely adherent to the incision, the colon and stomach were adherent to the greater omentum and abdominal wall, and the lesser curvature of the stomach was sutured to the liver section. The greater omentum completely wrapped the gallbladder, and the wall of the gallbladder was about 6 mm thick, hard, like a plate, congested and edematous, and the duct was dilated, about 1 cm, with a thick, hard wall, and the duct was particularly long, about 4 cm, and the structure was unclear. Stones were accumulated in the neck of the gallbladder. Since the patient had more severe cirrhosis, a large spleen and hypersplenism, very low platelets, and easy bleeding during separation, the surgeon’s technique was very demanding, and each step of surgical separation needed to be especially accurate, and the operation was performed smoothly under very difficult circumstances. In cases such as abdominal white line hernia which is far away from the gallbladder incision, abdominal white line hernia of 4*5 cm is far away from the incision, about 8 cm, and usually, another incision is needed for repair, which would not only be aesthetic but also affect the blood supply to the tissues such as skin between the two incisions. After delicate design and delicate operation, the repair of the abdominal white line hernia was successfully completed through a single incision. After the surgery, through comprehensive and careful treatment, the patient recovered smoothly and was discharged on schedule with stitches removed.