Cervical cancer is the most common gynecologic malignancy. Whether early or late, whether surgery or radiotherapy or radiochemotherapy, it has a certain recurrence rate, and some patients will still leave us. Usually the median survival time for recurrence is about 6-9 months, even if you treat it aggressively! It should be said that the prognosis of patients with cervical cancer recurrence is worse than any gynecological tumor recurrence. There is one exception to this rule, and that is the case of central recurrence, where close to half of the patients can still have a chance of long-term survival if they can be treated surgically without losing time! This surgery is called pelvic contouring or pelvic organ removal. It should be said that the pelvic contouring is the largest surgery in the field of gynecology, and it can also be said to be a “cruel” surgery. If all the organs in the pelvic cavity are removed, it is called total pelvic contouring, that is, all the tissues between the bladder and rectum are removed, so that the recurrent tumor is removed together with the surrounding tissues and organs, so that the patient theoretically gets a radical cure for the tumor. In this way, the recurrent tumor is removed along with the surrounding tissues and organs so that the patient theoretically obtains a cure for the tumor! If only the bladder, vagina and recurrent tumor are removed and the rectum is preserved, it is called an anterior pelvic dissection; if the bladder is preserved and the rectum is removed along with the tumor and vagina, it is called a posterior pelvic dissection! The most unacceptable aspect of this surgery is that the patient must have a fistula, a false anus, and in addition the bladder is removed, the ureter is anastomosed to the section of ileum removed, and then the ileum is opened to the abdominal wall. In this way this operation is done with a maximum of two fistulas. Many patients, families, and even medical staff consider such cruel surgery too cruel and unacceptable! Thinking that the quality of life is not good! I think such a view is incorrect. There are several reasons for this: 1, the most important, the so-called quality of life is based on the premise of living, people are gone, how to talk about quality! 2, normal people should not interfere with the patient’s choice, instead we should help patients to eliminate fear! Quality of life should be the patient to choose, not the normal person’s choice! 3, after the surgery to get used to a new way of life is very short, the quality of life than before the surgery significantly improved!