Vocal fold polyp is a common disease in laryngology, generally very small polyps can be cured after resting sound and conservative treatment. If it is not good enough to be treated surgically, the choice of surgical methods and approaches depends on the patient’s own conditions, and the technical conditions of the doctor or hospital to determine the surgical methods and approaches. Commonly used surgical methods are: a. Indirect laryngoscopic vocal cord polypectomy This is one of the most simple and inexpensive surgical methods, not hospitalized, less painful, low cost. However, it requires a high level of technical skill and patience, and accurate cooperation between the eyes and hands under the reverse indirect laryngoscope. It is suitable for adults with spacious laryngeal cavity, good exposure of the vocal cords, not very sensitive laryngeal reflexes, limited vocal fold polyps or roots, and who can actively cooperate with the surgeon. Second, fiber or electronic laryngoscopic vocal fold polypectomy This is an advanced surgical method using modern technological equipment, without hospitalization, very little pain and relatively low cost. It is operated under the observation of TV screen, and very small polyps can be removed cleanly, but it is not suitable for huge polyps. It requires the surgeon to be skilled in endoscopic operation. It is suitable for patients with polyps that are not too large. Direct laryngoscopic vocal fold polyp removal This is a traditional and ancient surgical method that has been commonly used until now, most patients do not need to be hospitalized, there is pain, and the cost is relatively low. It is suitable for most patients with vocal cord polyps, but it is not suitable for those with short thick neck, narrow oropharyngeal cavity and difficult exposure of the vocal chambers, or those who cannot tolerate the pain of laryngoscopy, the operation is not easy to succeed. Fourth, general anesthesia supported laryngoscopic vocal fold polypectomy supported or suspended laryngoscopic vocal fold polypectomy under general anesthesia is suitable for all patients with vocal fold polyps, and is also the result of the technological and humanistic progress of modern society, which allows patients to complete the surgery in sleep, making it painless and ensuring the thoroughness and humanity of the surgery. It is now widely used internationally and domestically. Hospitalization is required and the cost is high. The choice of surgical method should be based on the patient’s own condition, physical condition, and economic condition, and based on the principle of choosing the easy one before the difficult one, and try to choose the method with less money and less pain.