The treatment of spinal tumors continues to face many challenges, and it takes the best of almost all medical achievements to make progress. Since the surgical treatment of spinal tumors is one of my developmental areas, I am always interested in the results in this area. During my visit to Jefferson University Hospital in the United States, I also paid special attention to the experience of American doctors in this area. In general, their academic views are basically similar to those held by me. (1) For primary tumors, strive for surgical resection. (2) For secondary tumors, treat them differently on a case-by-case basis. The difference is that due to the legal and insurance situation in the United States, many physicians are reluctant to take greater risks themselves and often opt for relatively palliative surgery to address some of the patient’s symptoms, pushing much of the work to medical oncology treatment. I brought out a few recent cases of large full spine full vertebral complete tumor resections to discuss with American doctors, and they unanimously agreed.