After a wound becomes infected and septic, maggots may develop if a fly bites. At this time we tend to think that maggots may gnaw on normal tissues and make the wound worse, and that they need to be removed immediately. However, have you ever heard of using maggots to treat an infected wound? In fact, if a wound is infested with certain species of maggots, instead of eating the normal tissue or aggravating the infection, it will help the wound to heal. As early as 1829, Napoleon’s military doctors discovered that wounds infested with maggots were less susceptible to bacterial infection and healed faster. Maggots were successfully used to treat war wounds during World War I, and from then on, the repulsive maggot took up medicine. By the mid to late 1930s, maggot therapy was more widely used. Later, due to the widespread use of antibiotics, maggot doctors were laid off. However, due to further widespread use of antibiotics, increasing bacterial resistance, and the complexity of infected wounds, general debridement means are difficult to meet the needs, people once again thought of maggot doctors. At present, maggot doctors are mainly active on the medical front in Europe, America, Australia, Israel and other places. For the treatment of infected wounds with a lot of necrotic tissue, the removal of decaying, necrotic tissue is a very critical step leading to successful treatment, and the medical term for this removal process is debridement. The use of sterile maggots for debridement is called biological debridement. The maggot surgeon is a highly skilled physician who treats wounds that are so infected and complex that normal debridement methods are unable to help. In addition, it is a versatile doctor, treating varicose ulcers of the lower extremities, pressure ulcers (bedsores), diabetic ulcers, and various other surgical wounds and burns with co-infection. The maggot doctor treats chronic wounds in three ways that our doctors can’t: debridement, anti-infection and accelerated healing. The maggot doctor clears wounds quickly and well, not only does it remove the flesh cleanly and sharply, but it does not damage healthy tissue. An older woman once asked me curiously, “How do you get maggots to eat only carrion and not good meat? Actually, I really have no skill in this area, except that the maggots used clinically are strictly scavengers, and healthy live meat is not digestible by it, and it is not interested in it. Therefore it is very safe to let maggot doctors treat patients, and maggot doctors are known as the most gentle surgeons. Because of its photophobic nature, the maggot doctor will naturally access deep wounds that are difficult to reach surgically. Because Dr. Maggot is born eating carrion, it has developed a great skill for swallowing and digesting all kinds of bacteria. Wound healing begins with infection control. Most wounds are infected by a mixture of bacteria, and the most common is a pathogenic bacterium called Staphylococcus aureus, which is resistant to a variety of antibiotics and is therefore of wide concern. For this type of trauma, broad-spectrum antibiotics or a combination of antibiotics are often used clinically. However, when treated by a maggot doctor, the infection can be brought under control very quickly. In addition, maggot doctors can secrete substances that promote tissue growth when they swallow and digest necrotic tissue, and they can play a massage role by crawling and wriggling on the wound, which can promote the growth of fresh granulation tissue and speed up the healing of the wound. When it comes to having maggots as doctors, and surgeons, to treat infected wounds for patients, friends generally have the question, will it work? Will maggots, which have lived in filthy conditions for generations, bring in bacteria and aggravate wound infections? Will it burrow into the healthy tissue and eat the living flesh? For the first question, we can not worry, because now the sterilization and aseptic technology is not the same as in the past, the clinical use are sterile maggots. For the latter question, there are more than 10,000 cases in foreign countries, and there is no case of maggots parasitizing human body and causing fly maggot disease because of maggot doctor’s treatment. The main reason why people are reluctant to receive treatment from maggot doctors is still their disgusting image. In fact, people cannot be seen, and we cannot refuse treatment from a highly skilled maggot doctor because of his or her ugly and repulsive appearance. Most patients do not feel much discomfort when they have their wounds treated by a maggot doctor, but in a few cases there is increased pain on the wound surface, mainly in people who are overly sensitive to pain, which can be reduced or eliminated by changing methods. Some patients have complications such as itching, flu-like symptoms, and fever, which can usually be relieved by symptomatic treatment. The wound surface will slightly bleed during treatment, which is mainly caused by bleeding and partial capillary bleeding from contact with fresh granulation after removal of necrotic tissue, and no special treatment is needed. I believe that in the future, maggot doctors will provide us with more and better medical services and become our really good doctors and friends.