As the year comes to an end, a few surgeries this week have been mind-blowing. The first: six years old, admitted to the hospital has been quadriplegic, tumor near total removal, gliosarcoma, smooth extraction off the machine, check the room when her powerful cries, is the greatest desire for life. Only just six years old, what awaits her is …… We tried our best! The second table: just a year old, with a happy family; ventral brainstem tumor (spinal meningioma) was found during physical examination, told that the operation was life-threatening, plucked mountains and tossed and turned, chose our team, the tumor was tough, the tumor was completely removed from the middle of the left vertebral artery and anterior spinal cord artery, everything was as usual after waking up, all relatives cheered, we secretly left in smiles to run to the next operating table. The third table: middle-aged mother, a pair of children just working, found intra-medullary hemangioblastoma, had been told that she would be dead after surgery, go home and live a few more days. Three months later could only see the clinic in a wheelchair. She looked at the doctor with longing eyes and said, “I have not yet had a chance to enjoy my good life, I am not willing to do so! Every time she visited the clinic, she could sense her desire for life, and her faint smile was permeated with trust in doctors and hope for life. The fourth patient: a middle-aged male with a severe dislocation after a fracture of the odontoid process with skeleton formation and a brainstem compressed into a line, requiring combined anterior and posterior surgery. He is waiting, tonight we have to carefully consider the surgical plan …… in the face of the cruelty of the disease and the fragility of life, we can only do one surgery a surgery on the ground, like walking on thin ice, heart surgery is still, the hope of life to the patient, the possibility of going to hell silently carry.