Oral leukoplakia ulcer type appearing like pins and needles pain, can be treated by surgical treatment or physical therapy and so on, as follows. 1. Surgical treatment: surgical resection of lesions, for the limited small-scale lesions with clear boundaries, the conditions of surgical resection are better, when the lesions are too big or the boundaries are unclear, the surgery is more difficult and may cause tissue defects and functional disorders after the surgery. After surgery, the white spots may still recur. 2. Physiotherapy: including cryotherapy, laser therapy, photodynamic therapy, etc. It is less traumatic than surgical treatment, with less bleeding and less impact on tissue morphology and function. There is a certain possibility of recurrence after surgery. It is recommended to go to the hospital in time to receive professional and targeted treatment as soon as possible.