Patient: Description of condition (onset, main symptoms, hospital visited, etc.): 14 years old, suffering from tic disorder for 8 years, now the symptoms are getting heavier, head tossing, ghost face, hand flinging, foot twitching, occasional obscenities, obvious obsessive-compulsive disorder, irritable temper, inattentiveness, etc., have sought medical treatment at Zhejiang Children’s Hospital, Zhejiang Hospital of Traditional Chinese Medicine, pediatrics, etc. Has been western medicine with Chinese medicine treatment, the effect is not good Ask about surgical treatment, such as: the effect, indications, the best age, cost, hospitalization time, etc. Doctor: Hello! What tests have been done? Have you excluded epilepsy, metabolic diseases, and other organic diseases? Tic disorders are usually controlled quickly with the right medication. Do you know the details of the original western medication? Only one of the children with tic disorder that I have treated has undergone surgery. This case was a 15-year-old male from out of town with extremely severe self-injurious behavior, blindness in one eye due to repeated eye poking, and a fractured nose. He was not treated with adequate medication. Six months after surgery there was some relief. But still taking western medicine all the time. Still difficult to cure. Surgery may alleviate the twitching symptoms to some extent, but it is risky and I hope that patients who are willing to undergo surgery will consider it carefully. According to my years of clinical experience, the prognosis of tic disorder with self-injury is poor. Surgery may be considered in cases of very severe self-injurious behavior where adequate medication has failed. Your child has a predominantly compulsive tic and may also have an emotional disorder that can exacerbate the tic and cause a vicious cycle, so medication should be used from both sides. There are many new medications available to our clinic that are very effective! And there are no side effects. Since you are out of town, it is difficult to register and the cost of transportation and accommodation is high for your first visit to Beijing, so I suggest that you have a telephone consultation first, as this service does not require you to come to Beijing, just dial your landline at home. This will improve the efficiency of your consultation and prepare you for the next step of treatment.