In our clinical work, we often have to come into contact with patients with advanced tumor, whose condition is serious, and the patients and their families always ask the attending physicians whether there is any hope, or whether they can operate, and whether the operation has any value, and this question deserves our careful consideration. The duty of doctors is to help patients and relieve their pain, and the main means of surgery is surgery. When we face these advanced tumor patients, we should keep our sacred duty in mind, and use a scientific attitude to evaluate the disease, and also consider the problem from the patient’s perspective. We roughly classify surgery into three cases, one is that the tumor can be removed radically to obtain long-term survival, one is that although the tumor is advanced, it can be surgically removed to prolong survival, and the last is that the tumor is advanced and doing surgery will probably not prolong survival, but it can relieve the pain and improve the quality of life for a limited period of time. This last situation is controversial within physicians because textbooks or guidelines often do not recommend it and peers question the practice. We say that the books speak of universal laws, commonalities, not individuality, when in fact each person has his or her own unique situation when ill. In the author’s experience as a surgeon for close to twenty years, the last case should try to fight for surgery, but several prerequisites have to be met. Firstly, although the patient has advanced tumor, perhaps with metastasis, the general condition is good, no serious underlying disease, and the expected natural course of disease is long (by years), rather than an obvious case of wasting period; secondly, both the patient and the family have a strong desire to survive as well as a thorough understanding of the disease teaching, as the saying goes, to see the light, which helps the full communication and exchange between doctor and patient to reach a consensus; thirdly, the attending surgeon is Third, the attending physician is experienced in surgery, has a clear surgical purpose, is fully confident in completing this palliative surgery, and can recover more quickly after surgery and enter other treatment procedures. The author measured whether to operate according to these conditions, and the vast majority of them have obtained satisfactory results.