In general, people with cervical spondylosis whose condition is severe and has affected their daily life and work, and whose non-surgical treatment has not been effective for a long time, and whose general condition can tolerate anesthesia and surgery, can choose surgical treatment. Specifically, each type of cervical spondylosis has its own surgical adaptation. Cervical cervical spondylosis: 99.9% of patients can be cured, self-healed or significantly improved by non-surgical treatment. Only individual patients with particularly pronounced neck symptoms that affect daily work, especially those who need to drive out and socialize more, need to consider surgery, mainly vertebral segment fusion. 1, neurogenic cervical spondylosis: more than 98% of patients can be cured or significantly improved by non-surgical treatment such as traction therapy. Only a few patients with longer disease duration, more severe pain or cervical spinal stenosis and ineffective long-term treatment may need surgery. Some of them can be treated by discectomy only, while others may need more complicated osteotomy and decompression surgery and fusion. 2, spinal cord type cervical spondylosis: this type of patient has a higher proportion of surgery. Except for a few patients who may get better after trauma and short onset through traction therapy, most patients generally need surgery if they do not get better after regular cervical non-surgical therapy and if it affects walking and hand function; moreover, the time of surgery is directly related to the degree of recovery, and those who delay for more than half a year have poorer efficacy, and those who delay for more than a year have greater impact. 3, vertebral artery type cervical spondylosis: most cases can be cured or significantly improved by non-surgical treatments such as traction and neck braking, but some patients need to be operated. There are two main types of surgery for this type of patient. One type is due to vertebral artery curvature and stenosis caused by loose vertebral segments, which need to be repositioned (restored to their original height) and fixed so that the blood supply to the vertebral artery can be improved. The other type is due to bone spurs, herniated discs, or narrow transverse foramina that compress the vertebral artery and affect the blood supply to the vertebral artery; these require removal of the bony object that is compressing and restricting the vertebral artery. The latter surgery is more difficult and can only be performed by a physician with extensive clinical experience. 4, swallowing difficulty type cervical spondylosis: through local anti-inflammatory, eat softer food, do not tilt the neck when swallowing and other measures, most patients can get better or healed. However, for individuals with large bone spurs, non-surgical treatment is ineffective, and surgery is required to remove them. 5.Mixed type of cervical spondylosis: The surgical cases are similar to the above ones. Mixed type is caused by more than two types, therefore, surgery depends on which type is the main one. Among them, those with spinal cord type predominantly require surgery more often, while those with vertebral artery type predominantly require a lower percentage of surgery.