Generally speaking, the disease of internal medicine consultation, usually do not need to use surgical treatment, through the drug can be treated; and surgery is usually required to use surgery to treat the corresponding disease. 1. Types of diseases: Surgery is mainly for a number of diseases that require surgical treatment. Such as from including trauma, infection, deformity, tumor, other (such as stones, cysts, thrombosis, etc.) five categories; And internal medicine is mainly for some diseases that do not need surgical treatment, including inflammation, organ function damage, such as the circulatory system or organs and tissues in the body, such as disease, such as endocrine disorders, cardiac insufficiency, hypertension and so on. 2. Means of treatment: In general, surgery or not is the key to distinguish between medical and surgical treatment of diseases, but not absolute, surgical treatment in addition to surgery also need drugs to assist in the treatment of internal diseases will also be through a certain amount of surgical treatment to quickly relieve the symptoms. In addition, many diseases do not belong to a single type, and a detailed examination is required to determine the specific classification of the disease and its treatment. Specific diseases are dealt with by either medicine or surgery, and the line is currently blurred. For example, the treatment of most tumors requires a combination of surgery, radiotherapy, chemotherapy, targeted therapy and other measures, and therefore requires the collaboration of internal medicine and surgery. At present, many hospitals also carry out some surgical operations, such as gastroenterology with endoscopy to treat gastrointestinal diseases, cardiovascular medicine with interventional measures to insert stents or catheters to treat acute coronary syndromes and so on.