ESD surgery for ectopic pancreas is more reliable. Ectopic pancreas, also known as vagus pancreas, is a mucosal elevated lesion under gastroscopy, and it is difficult for conventional biopsy to have a comprehensive and detailed assessment of the overall lesion, while ESD is of great significance to the overall pathological diagnosis of the lesion and subsequent treatment. ESD is the first choice for the treatment of ectopic pancreas when it is combined with complications such as hemorrhage, obstruction or even cancer. The technique is less invasive, with shorter surgical procedure time and quicker postoperative recovery, which can achieve a radical effect and save a considerable portion of patients from surgery. The technology is now more mature, and the risk of surgery is small. It is recommended that patients combine their own situation, under the guidance of the doctor to choose the most appropriate treatment, and at the same time relax, pay attention to a light diet.