Nowadays, when you search “osteonecrosis of the femoral head” from Google or Baidu, what you will find in front of you is a mushrooming of osteonecrosis of the femoral head specialists and hospitals. This of course should be thanks to Google’s bidding principle, or the network company’s SEO technology. The reason why there is such a large market is because it has a huge patient base, as this disease seems to be a “terminal disease” in the eyes of many patients, so they will throw themselves at it. Chinese medicine treatment, by activating blood stasis, tonifying the kidney and strengthening the bone, and detoxifying the bone, is really effective for femoral head necrosis, but not all patients can get satisfactory results; the treatment of femoral head necrosis needs to face many problems: the problem of dead bone? Repair problems? Collapse problem? Cartilage problems? Joint stability? Chinese medicine treatment can promote repair, but lacks effective means for other problems. In the process of treatment, many patients end up with a collapsed femoral head, resulting in severe osteoarthritis and eventually total hip replacement. In fact, the use of TCM treatment should not be limited to the “dialectical treatment” of internal medicine, but should focus on the “holistic concept”, and must grasp the law of pathological changes as a whole and dynamically, especially the law of collapse, and must comprehensively analyze the clinical and We must comprehensively analyze the clinical and impact data, judge the current pathological state, and must correctly understand each patient; we must treat the “person”, not just the “disease”. I have come across many patients who have gone around the major hospitals in China and almost all of them have told them that they can only replace their joints, or they can continue to walk until they can no longer walk and then come back to replace their joints. So, can’t we really do anything about it? Yes, joint replacement has unparalleled advantages in solving femoral head necrosis; however, the current technology still cannot avoid the need for multiple revisions due to various problems such as infection, prosthesis loosening, osteolysis, etc., which causes a huge psychological and financial burden to patients, especially young patients. At present, there are various “head preservation” treatments for femoral head necrosis, including marrow core decompression, tantalum rod transplantation, bone grafting for lesion removal, autologous or allogeneic fibula graft support, various bone flaps with and without blood vessels, musculoskeletal flaps, vascular anastomosis fibula grafting, and various kinds of osteotomies. Of course, we cannot fail to mention the autologous stem cell transplantation which has become more popular in recent years. With so many surgical procedures, not to mention how the patient chooses, even most orthopedic surgeons are unable to carefully explain the advantages and disadvantages. I just want to say: any kind of surgery has its own indications. And the reason why femoral head necrosis is an orthopedic dilemma is that a single approach cannot cure all patients; therefore, we need to grasp the indications for each surgery. Here, I would like to say to every patient with osteonecrosis of the femur: choose a doctor you can trust! Then let him help you choose the best option.