I had once admitted such a patient with acute pelvic inflammatory disease. After active anti-inflammatory treatment, the fever and abdominal pain disappeared, and after the course of treatment, she was discharged from the hospital. But the patient’s mother was worried about the pelvic adhesions that would affect her fertility in the future and wanted to have surgery to explore them. I don’t think ultrasound can reveal adhesions except in extremely unusual cases where adhesions can be presumed. I then patiently explained to the patient and her mother that the outcome of acute pelvic inflammatory disease is generally relatively good after active treatment, but I do not think it is appropriate to conclude that it will affect fertility at this time. The patient is not married, and even if there are adhesions in the pelvic cavity, we do not know when the adhesions will occur again in the future if we perform surgery to separate them now. I did not advocate for her to have the surgery, and gave her a discharge. But I didn’t expect to see this patient again in the ward within two days – she was in the bed of another professor ready for surgery. Guo Hongjun of the Department of Obstetrics and Gynecology of the First Affiliated Hospital of Zhengzhou University told me specifically after the surgery that the pelvis just had adhesions, and I smiled bitterly and said that it was good and good – what else could I say. It is undeniable that after aggressive anti-inflammatory treatment, even if there are adhesions now, they may be minor and minor adhesions can be easily separated, but I still have to say, can adhesions be avoided after they are separated now? There are three reasons why abdominal adhesions arise: First, inflammatory stimulation. Second, surgical trauma. The third is the accumulation of blood in the pelvis. Surgery can separate adhesions or cause them, and even if we apply anti-adhesion medication, it can only reduce the probability of adhesions, but not guarantee their non-occurrence. A currently unmarried person, the abdominal cavity even if some adhesions do not affect life why do you go to divide it? Besides, even a little adhesion does not necessarily lead to infertility. After the adhesions are separated, can you guarantee that no more pelvic infections will occur until you are married? Have these questions been considered by patients and families? I can’t help but ask questions when I think about this, but who can answer me? Perhaps, I should have just done the surgery regardless, respecting the patient and family’s opinion, but quietly, with my subordinate doctors we discussed the matter again, and we still agreed that it was not the best time to do the surgery, and we did the right thing for our conscience. However, even if we do the right thing, will the patient be able to appreciate our heart? A disease, different treatment options, even non-medical people, I think it is possible to make a judgment in their favor based on the full knowledge of the disease, weighing the pros and cons. But if you want a path to go to black, there is no way, only to let it go to black. Here I would like to ask my peers to properly express their views, encountering similar patients, what will you do? I would also like to remind the patient’s friends is to think appropriately about the matter, between the pros and cons must choose the greater benefit to go.