Half a century ago, Mao Zedong raised the danger of “sugar-coated shells”, but only today do we really appreciate the bitter consequences of sugar-coated shells. The total number of diabetics in China has exceeded 90 million. There was a post that said “I’d rather have AIDS than diabetes”, which is not meant to be alarming, because diabetes has become the main health killer of the country. In 2009, the general surgery gastrointestinal group of Beijing Tiantan Hospital was approved to carry out gastric diversion surgery to treat type 2 diabetes, which is a tertiary-level general hospital in Beijing. 2011, Beijing Tiantan Hospital, affiliated with Capital Medical University, and In 2013, the second Titan Surgical Treatment of Diabetes Conference was successfully held in Beijing. In the same year, the famous Cleveland Medical Center announced the top 10 medical innovations in 2013, and surgery for diabetes was on the top of the list. Today, our medical team has been in development for five years. Five years is not too long for life, but in those five years, surgery has come a long way in the fight against diabetes. We have put in a lot of hard work and received a lot of elation. We have been distraught by the patient’s condition, we have hesitated over and over again about the surgical plan, we have been anxious about the patient’s poor lifestyle, but more than that, we have felt the positive energy of life overflowing in the process of patient treatment and follow-up. The road is winding, but the future is bright. We originally only wanted to treat the disease, but found that we were unaware of each other’s lives. ”One flower is not a spring, and a lone goose can hardly make a journey.” Our team has attended many national and international academic conferences to share and exchange medical experiences. I have discussed clinical medical practice and the future development of the discipline with experts such as Francesco Rubino and Ibrahim M. In order to better share the team’s experience to the national channel, we have held several national study courses, which have been well received. On the great road of maintaining the health of the nation, let us take New Tiantan Hospital as another starting point of development and lead the geese of diabetes and bariatric surgery to fly to a more expansive sky. Diabetes surgery enables most diabetic patients to stop insulin therapy and solve their blood glucose problems without having to take multiple drugs, and it also significantly improves the components of metabolic syndrome such as hypertension, obesity, dyslipidemia and hyperuricemia. Diabetes affects not only the body, but the mind as well. Surgical treatment of diabetes is a medical issue as well as a social one. What we can bring to our patients is not only advanced medical technology, but also confidence in a happy life and the desire for a better future.