Many scoliosis patients and families believe that scoliosis surgery is more risky and may cause paralysis, and these are the main concerns that are shared by all patients with their families and doctors. Any surgery is traumatic to the organism and therefore carries risks. However, for diseases that can only be treated surgically, surgery is a certain trauma in exchange for the treatment of the disease, and the question of whether the benefits or the disadvantages are greater is considered. If the scoliosis is not corrected, the child’s heart and lung function will be affected, and the spinal cord function will be affected, which may cause disability in the future and even affect life expectancy, so timely treatment should be done anyway. Scoliosis surgery involves the spinal cord and nerves, and is a risky surgery, the most risky surgery in orthopedics, the risk is greater than the general surgery, it is easy to have some complications during or after the surgery, such as damage to the spinal cord resulting in paralysis of the lower limbs and loss of urinary and fecal functions, large surgery, long operation, large blood loss during and after surgery, the risk of anesthesia, as well as the post-operative shock from the surgery These factors make the surgery more risky. However, modern scoliosis treatment concept is advanced and scientific, the surgical technique is standardized, mature and reliable, and professional scoliosis correction physicians have sophisticated surgical skills and expertise to make an accurate and fine assessment of the patient’s condition before surgery, select and develop an appropriate surgical plan, and intraoperative arousal experiments and evoked potentials to monitor the spinal nerves, which greatly reduces the risk of surgery. Therefore, there is no need to worry too much about the risk of surgery. The idea and practice of delaying surgical treatment because of excessive concern about surgical risks are undesirable. In conclusion, scoliosis surgery should be an effective and safe procedure for an experienced and specialized physician.