If the testicular torsion is repositioned by manipulation, then elective surgical treatment for testicular fixation is recommended. Even if the testicle is repositioned by manipulation, it will only restore the testicle to its normal position, but it will not remove the anatomical factors, such as the high attachment point of the sheath or the excessive length of the spermatic cord, so the patient may still have torsion in the future, which may cause ischemia or necrosis of the testicle. Therefore, elective testicular fixation surgery is recommended to prevent the recurrence of torsion, ischemia and necrosis of the testicle, or the removal of the testicle. In principle, without a definite diagnosis or experience in manipulative repositioning, manipulative repositioning should not be performed if possible. It is possible that the ischemia of the testicle may be aggravated by the process of manipulation because it may not be effectively reset. Or the patient’s pain may be relieved after incomplete repositioning and he may think that the testicle has been completely repositioned, resulting in chronic ischemia and eventually ischemia and necrosis of the testicle. Therefore, in principle, it is recommended not to reset the testicle as far as possible, and to carry out surgical investigation as soon as possible, and to carry out surgical repositioning and testicular fixation to prevent recurrence, ischemia and necrosis in the future.