In response to a fish spike in the throat, first press the tongue with a tongue depressor and observe the tonsils and oropharyngeal mucosa for fish spikes, and if so, remove the spike directly with lance-like forceps. If not, the hypopharynx is examined with an indirect laryngoscope to observe the root of the tongue, the valley of the epiglottis, and the pyriform fossa for fish spurs. If there is, use indirect laryngeal forceps and remove it by clamping. For those who are partially difficult to remove, the fish spur can be removed by foreign body forceps under electronic laryngoscope. With the above methods, almost 80% of the fish spines can be removed successfully. For the few patients who do not find fish spikes after various examinations but have a foreign body sensation in the throat, the foreign body sensation should be considered to be caused by the damage to the mucosa during the downward movement of the fish spike. The patient can be advised to eat a light diet with soft food and observe for 3 days. If the patient is very uncomfortable after 3 days, he or she can be seen again for a laryngoscopic examination.