The development of axillary odor surgery has gone from skin removal to 2-3 mm minimally invasive surgery, during which the efforts and wisdom of generations of surgeons have been incorporated, but unfortunately, until now, there is still no perfect method to find a balance between results and aesthetics. Many surgeons look down on this surgery, thinking that it is a minor operation, a gadget, not worth the time and effort to study and improve, so although various surgical techniques and innovations in surgical instruments have emerged, they often lose sight of each other, unlike the “laparoscopic cholecystectomy” which has become the accepted surgical method in the industry. There is a gold standard of treatment. Together with the huge patient group and economic interests of the market, the treatment of axillary odor has become the general meat and potatoes of the herd, which is mixed, the level varies, so that many patients ate a dumb loss. I recently met a lot of patients who had undergone surgery in outside hospitals, especially private hospitals, he or she came to the clinic for about 70% of the purpose because of post-operative relapse, about 30% because of severe scar growth. I sympathize with those young boys and girls, especially girls, whose unsightly scars due to surgery often cause them to go from one psychological barrier into another, and it is possible that this is something that needs to be eliminated at a greater cost, or that can never be fixed again. So what exactly is the best treatment for armpit odor now? As I mentioned in my previous blog post, the treatment of armpit odor must be chosen carefully, because for you to receive a surgery is a big event in life, but for surgeons is not the case at all, they have to perform many surgeries every day, armpit odor surgery is too small to be taken seriously, not all doctors will pay attention to take it seriously. I asked a lot of patients with recurrence or scarring or even skin wrinkling, asked them if they had gone back to the original surgeon, their answer was no, because they said what if they found it? Is finding the surgeon the answer? They say they don’t trust the original surgeon anymore. But how many surgeons know this? They often finish the surgery and tell the patient that you are cured, but what happens afterwards? Have you ever cared about your patients again? Have you ever concluded whether your surgical approach has met the needs of your patients? So I am very disgusted with the market advertising of axillary odor, especially the advertising of various minimally invasive surgery, although I think “minimally invasive” is the inevitable trend of surgery, but the existing technical conditions do not support its widespread promotion and development, a large number of patients in the minimally invasive surgery is the best evidence of recurrence. In addition, some hospitals do small incision surgery under the banner of minimally invasive surgery, but they have not mastered the essentials of small incision surgery, which is just like selling a dog’s meat by hanging a sheep’s head, although your behavior is not enough for medical error or medical malpractice, but it will seriously affect the patient’s psychology and make her/him unable to work, study and interact normally. It is undeniable that the “modified small incision surgery” currently implemented in my hospital for the treatment of axillary odor has certain drawbacks, but I always believe that the “balance between effectiveness and aesthetics” is something that the surgeon needs to find with care. I don’t advocate sacrificing the length of the incision to achieve a cure, but to shorten the length of the incision as much as possible and to achieve an aesthetically pleasing post-operative result through careful surgery and proper dressing, and this can be done! After all, axillary odor surgery is not a curative surgery in the traditional sense, we should stand in the patient’s shoes and think more about the patient, the incision should not be rushed like a rush job, and the patient’s trust in us should not be destroyed in your own hands. Therefore, I hope that the new medical reform will increase investment and research in paying attention to the psychological needs of patients, and that hospitals should practically promote medical reform by putting patients at the center. From a doctor’s standpoint, I oppose the current “expensive medical care”, I think that medical care is not expensive, doctors, especially surgeons, have paid far more than the workload set by the state, the pressure we bear and the rewards we get are far from proportional. But I support the “difficult to see a doctor”, difficult to see a doctor is not difficult to have a place to see, but difficult to enjoy the people should not be warm, comfortable, satisfactory service, in front of the proud doctor, the patient is already weak, but like a gray grandson begging the doctor to look at him more than one sentence, I hope that one day the patient into the hospital I look forward to the day when patients walk into a hospital and get hospitality and attention like walking into a star hotel, so that we the people can really get rid of the difficulty of seeing a doctor!