Myocardial bridges can be treated with minimally invasive procedures, including release surgery, but care needs to be taken to ensure that the indications for surgery are met. Coronary arteries usually run on the surface of the heart, and when the shape of the arteries varies, a segment of the arteries may burrow between the ventricular wall muscles, which is known as a myocardial bridge. It may be asymptomatic or may present with symptoms such as chest tightness, chest pain, palpitations, dizziness, blackouts, and syncope. When there is no clear evidence of myocardial ischemia, no medication or surgical treatment is needed, regardless of the presence or absence of chest pain or tightness, and attention should be paid to adjusting the work and rest schedule and avoiding overwork and over-tiredness. Myocardial bridges are usually treated with medications such as metoprolol. For myocardial bridges that do not respond to medication or where coronary blood flow is severely impeded, surgery may be performed. With advances in surgical methods, minimally invasive surgery is now very common, including myocardial bridge release and coronary artery bypass grafting. Metoprolol needs to be administered under the guidance of a clinician; whether surgery is needed is recommended to be decided by a clinician after comprehensive judgment.