Can congenital smoker’s disease be cured? Chinese people often have the misconception that congenital disease is a lifelong condition that can’t be cured and can only be cured by letting it develop. The right attitude to treat the disease is to have an optimistic attitude and treat it positively after we get it. Smog is a typical example. Smog, whether congenital or acquired for other reasons, is a very dangerous disease, and in the most serious cases, causing death. So do not underestimate this disease. If smog is diagnosed and not treated in time, the consequences can be imagined. The good news is that with the continuous development of technology and medical advances, there have been breakthroughs in the treatment of smog. Whether the disease is congenital or acquired, it can now be treated through surgery. The clinical treatment of smog is based on direct bypass surgery, indirect bypass surgery, and combined vascular bypass surgery. Direct bypass surgery refers to the re-establishment of new blood flow channels to ensure adequate cerebral blood flow, through direct bypass to make intracranial and extracranial vascular anastomosis, and rapidly improve cerebral blood supply. Indirect bypass surgery, or patching surgery, is the application of muscle and meningeal tissue rich in extracranial blood supply to the surface of the brain inside the skull. To relieve the inadequate blood supply to the intracerebral arteries, the blood flow in the brain is improved by establishing a channel for the normal blood vessels outside the brain to supply blood to the brain. After the blood supply is improved, the demand for smoke-like vessels will be reduced, thus reducing the risk of re-occurrence of cerebral ischemia and cerebral hemorrhage in patients. Combined vascular bypass surgery is a combination of direct bypass surgery and indirect bypass surgery, which means that both procedures are performed in the same operation, and is the most commonly used surgical treatment in clinical practice. The surgery provides a solid and powerful double guarantee of cerebral blood by re-establishing new blood flow channels and simultaneously applying extensive patches to the brain surface to induce the formation of new blood vessels. It is the most efficacious and safer surgical procedure. It has the advantage of solving the problem of cerebral ischemia at once. The procedure is more operable, safer, maximizes surgical results, and provides immediate results. It is generally the most recommended surgical procedure. Can congenital smoker’s disease be cured: Smoker’s disease is a chronic progressive disease and there is no curative drug or surgical treatment available. Because combined vascular bypass surgery cannot open the occluded cerebral blood vessels, it can only improve them, so in a strict sense, there is no cure for smoker’s disease. However, combined vascular bypass surgery is to re-establish new blood flow channels and to induce the formation of neovascularization to improve the lack of blood supply to the brain, and with neovascularization, the compensating vessels will not be overly dilated and cause brain hemorrhage, which can lead to death. Therefore, even if the occluded cerebral blood vessels cannot be opened, combined vascular bypass surgery is still possible to treat smog disease. According to a large number of clinical evidence, patients’ symptoms will be improved after the combined bypass surgery. It does not affect the patient’s normal life. Combined vascular bypass surgery is still the only effective treatment for smog. Patients should seek medical advice and arrange for appropriate surgical treatment if they have such a need.