Total bilirubin 33.6μmol/L does not require treatment if it is physiologically elevated, but requires treatment if it is pathologically elevated. Normal total bilirubin range is 1.71-17.1μmol/L, 33.6μmol/L is over the normal range, if it is pathologically elevated, it is necessary to identify the cause of the disease, and treat the cause. Physiologic elevations do not require treatment and will decrease on their own. Pathological elevation, such as autoimmune disease caused by excessive destruction of red blood cells, leads to hemolysis. Glucocorticoids can be used for treatment, and if the elevation is due to hepatocellularity, such as cirrhosis, liver transplantation can be performed. If the bile duct is obstructed, interventional therapy can be performed to relieve the obstruction. It is recommended to go to the hospital for examination to clarify the cause of the disease, according to the cause of treatment, so as not to delay the condition.