People eat grains, who can be free of disease. But what diseases are most common today? What kind of patients are growing the fastest? And what kind of patients are the largest in number? If such a survey were done, I think diabetes would definitely be in the top three. In recent years, the growth rate of diabetic patients is almost comparable to the growth rate of China’s GDP, the authority of the survey data in previous years shows that the number of diabetic patients in China is close to 100 million, what kind of concept is this? A large family of more than 10 people is bound to have a diabetic patient. Such a large group of patients, the annual consumption of medical resources hundreds of millions, but this is the case, the annual disability and death caused by diabetes thousands of society, this is how heartbreaking the current situation ah! In recent years, the development of medicine, the innovation of treatment tools become the hope of overcoming diabetes. The flow of the years always repeats a number of similarities. In the early and mid-1900s, surgery was the primary treatment for ulcer disease, but with the success of drug development and the introduction of a large number of effective drugs, there are very few ulcers that are now considered for surgery. Today’s diabetes treatment is a perfect replica of ulcer disease. Years of medication have led to a bottleneck in the treatment of diabetes, and surgery is increasingly becoming an effective measure in the treatment of diabetes, with good results after surgery bringing new hope to diabetic patients and doctors who treat diabetes. The writing of history always belongs to the discoverers and the creators. Discoveries often come from chance, and discoveries will eventually become inevitable. This is a complex philosophical proposition, like a tongue twister. I don’t know who said it, but I think I read it in an unknown article, but it is particularly meaningful at this moment. The surgical treatment of diabetes is a good practice of this proposition. In the middle and late last century, the popular bariatric surgery in Europe and the United States was in full swing, with hundreds of thousands of patients undergoing surgery each year. Surprisingly, many patients with obesity combined with diabetes not only had perfect improvement in obesity after surgery, but also had their persistently elevated blood glucose disappear into invisibility, and after decades of evidence-based medical research, surgery was finally found to be a remedy for diabetes. For this reason, Europe and the United States included surgery in the treatment guidelines for diabetes at the end of the last century, and China also included surgery in the treatment guidelines for diabetes in the last few years after meticulous discussion by experts. The world has changed, drugs to surgery; surgery to drugs, different rounds for different diseases, the same is to cure the disease and save people. The years are fair, the creativity of human discovery is infinite, and reasonable means of treating appropriate patients is what both doctors and patients aspire to pursue. Today’s rational surgical treatment plan will surely bring good news to the suitable diabetic patients.