Two lymphatic metastases of gastric cancer, most of which are stage II and above, are preferred to be treated by surgery, after which postoperative adjuvant chemotherapy, postoperative adjuvant radiotherapy or postoperative simultaneous radiotherapy and chemotherapy can be adopted. 1. Surgery: it is the first choice of treatment, and radical gastrectomy is often used for gastric cancer, combined with lymph node dissection, which can basically remove the tumor. 2. Postoperative adjuvant chemotherapy: postoperative adjuvant chemotherapy is applicable to patients with pathological stage II or above after radical gastric cancer surgery, which can prevent tumor recurrence and metastasis, and it can be started 4 weeks after surgery, and it can be used as a single-drug regimen of Tegibeo, or a combined regimen of Tegibeo and oxaliplatin, and the specific regimen needs to be selected according to the actual condition and physical condition of the patients. 3. Postoperative adjuvant radiotherapy: postoperative adjuvant radiotherapy is suitable for those with positive surgical margins, lymph node metastasis and other high-risk factors, and it can adopt three-dimensional conformal radiotherapy or intensity-modulated radiotherapy, postoperative adjuvant radiotherapy can reduce the rate of local recurrence of the tumor. 4. Simultaneous radiotherapy: if the patients with two lymph node metastases of gastric cancer are still in good physical condition, they can tolerate simultaneous radiotherapy or adopt postoperative simultaneous radiotherapy to improve the therapeutic efficacy, and then complete the subsequent adjuvant chemotherapy after the simultaneous radiotherapy is completed. Each treatment method has its own indications and characteristics, so it is recommended that the relevant patients choose the suitable treatment method under the detailed evaluation and guidance of doctors.