γγThe current mainstream treatment for most rheumatoid arthritis is internal medicine, and this is true in most cases, as seen in medical guidelines. However, there have been some differences in the current philosophy of treatment for rheumatoid arthritis. In cases where the patient has repeated chronic pain due to rheumatoid arthritis, although no joint deformity has yet developed, if the patient has chronic difficulty tolerating the pain and the impact on life, and the physician believes that surgery can resolve the pain and the continued progression of rheumatoid inflammation, it is possible to consider early surgical treatment without necessarily waiting until the joint function is extremely poor and the patient is suffering from chronic pain. However, the grasp of the indications for surgery and the grasp of the postoperative outcome is a great challenge for most doctors, because some pain may not be surgically effective. There are no uniform criteria and no definitive evidence for a specific indication for surgery in early rheumatoid arthritis.γγ