A significant number of physicians in the medical community believe that surgery is the only means of curing plasmacytic mastitis. In my personal experience, there are two types of surgery: one is an incision and drainage procedure taken to drain out liquefied necrotic tissue or pus when liquefied necrotic tissue or secondary abscesses are present. The other type of surgery is excision of the lesion or lesion duct. This is determined by the size of the lesion. In general, for lesions limited to one quadrant, segmental resection and excision of the lesion ducts are sufficient. If the lesion is more than one quadrant, two, three or even the whole breast, total mastectomy is often required, otherwise partial removal of the breast will result in serious disfigurement of the postoperative breast, which is difficult for the patient to accept. However, we should not perform the surgery blindly and hastily. If the mass is huge and the amount of abscess is relatively small, the abscess may not be drained by incision, otherwise there will be the possibility of re-incision or multiple incisions afterwards, and the incision will not heal easily because the huge mass has not been eliminated. If the amount of abscess is large, incision and drainage can be performed in time, which also facilitates the dissipation of the mass. As for the treatment means of the lump, although surgery can remove the lump, or even the whole breast needs to be removed, the obvious postoperative scar, the obvious change in shape, or even the postoperative incision not healing or needing another or multiple surgeries often make many doctors headache and patients dissatisfied. Then there is another treatment option, which is to use Chinese herbal medicine for evidence-based treatment, together with traditional Chinese medicine for external treatment, which can gradually dissipate the lump and heal the sinus tract. The disadvantage of this treatment, with good breast appearance and patient satisfaction, is that the treatment period is long, most of which takes several months or about six months. This can be done by the patient’s own participation in choosing the right treatment for him or her.