We recommend to start from the root cause to reduce the level of uric acid in the patient’s blood or to make uric acid excreted from the body. To reduce the level of uric acid in patients: 1) medication, we can use some drugs to inhibit the production of uric acid or use some drugs to promote the excretion of uric acid. Now there are some new uricase inhibitors, which can inhibit the production of uric acid; 2, guidance of daily life, patients must strengthen self-management, try to achieve a low purine diet, drink more water, so that the uric acid in the blood is maintained at a low level, alkalization of urine is also conducive to the excretion of uric acid; 3, surgery, for some particularly huge gout stones, we once had a Tibetan patient who came to the clinic, bilateral feet He had to wear special shoes in order to walk. For such patients, we advocate surgery. However, we must pay attention to the fact that surgery and uric acid treatment must be complementary, that is, the patient’s blood uric acid reaches the standard before surgery, the effect will be better at this time, and can also prevent the recurrence of gout or the formation of gout stones again.