At present, most patients in China have misconceptions about the treatment of coronary heart disease and are more willing to accept the relatively less invasive stenting. Stenting itself is a very good treatment method, especially for acute heart attacks and patients with single or two short lesions, often saving lives and achieving good results. However, at the same time, we should seriously grasp its indications, otherwise the long-term survival and quality of life of patients will be significantly affected. Recently, I treated a patient with coronary artery disease combined with diabetic multivessel lesion and long diffuse stenosis of the anterior descending branch, who had multiple stents placed in the anterior descending branch and gyrus branch of the left coronary artery three years ago. However, the patient’s symptoms improved only to a limited extent. However, the patient’s symptoms were not improved much, and the total cost of treatment was more than 600,000 yuan. The family said helplessly, “Her family lost their BMW”! In another case, the patient was seen six years ago for old heart attack and heart failure. At that time, the left ventricular EF was less than 35%, but coronary artery bypass grafting was actively performed, and the condition is now stable, the symptoms are well controlled, and daily life is not affected. Therefore, I hope that the majority of patients with coronary artery disease, when receiving treatment, not only the immediate effect, must consider the long-term survival rate and quality of life, if three or so stents can completely solve the problem, it is no problem, choose the stent, but if more than three stents to solve, then must be carefully considered. It is better to choose bypass surgery to get good long-term results. Of course, no matter which treatment you choose, the most important thing is the post-operative maintenance and strict compliance with medical advice on medication, you cannot change your medication at will, especially aspirin, statins, etc. Otherwise, no matter how good the surgery is, it is difficult to get good results. The main indications for coronary artery bypass surgery are: (1) left main stem lesion with stenosis greater than 50%. The uniform survival time after surgical treatment with coronary artery bypass surgery is 13.3 years and 6.6 years with drug therapy. (2) Bypass surgery should be selected for lesions equivalent to left main stem lesions, i.e., significant stenosis (≥70% or more) in the proximal segment of the left anterior descending branch and the proximal segment of the left circumflex branch. The uniform years of coronary artery bypass surgery and drug treatment were 13.1 and 6.4 years, respectively. (3) Two or more vascular lesions in combination with diabetes mellitus, especially two vascular lesions with proximal stenosis of the anterior descending branch. (4) Diffuse lesions of three or more vessels with hypoplastic left heart should be treated with bypass surgery. (5) Single-vessel lesions, especially long segment lesions of the anterior descending branch or the proximal segment of the right coronary artery. (6) Acute myocardial infarction with cardiogenic shock. (7) Combination of cardiac mechanical complications requiring surgical treatment such as tendon rupture mitral regurgitation, ventricular septal perforation or combined ventricular wall tumors. (8) Unstable angina; post-infarction angina; and Q-wave-free myocardial infarction are all indications for coronary artery bypass graft surgery. (9) Some involved in treatment failure or occurrence of acute complications of rib, such as severe coronary injury. (10) Recurrence of angina pectoris after coronary artery bypass surgery and bypass surgery again.