If the patient is more anxious, direct surgery may be an option, with the aim of clarifying the diagnosis and providing a basis for further comprehensive treatment. It is generally recommended to deal with the most dominant lesion first, and the surgical approach can choose minimally invasive lung segmental resection. Smaller lesions, if they rely on the periphery of the lung lobes and can be detected by probing during surgery, can choose local wedge resection. If the lesion is located in the middle lobe of the right lung, direct middle lobe resection can be chosen because the middle lobe is smaller, has less impact on lung function after resection, and has a higher percentage of malignant middle lobe lesions. Smaller lesions are recommended for follow-up if they are located on the other side of the surgical site. If they are located on the same side of the surgery, try to remove them together if they can be detected intraoperatively. If the nodule cannot be detected intraoperatively for various reasons, low-dose CT can be reviewed periodically, while for multiple nodules that cannot be determined to be benign or malignant, low-dose spiral CT can be reviewed after 3 months, and if the ground glass nodule is still present, or if there is an increase in size or solid component, surgical resection is recommended.