Sleep apnea syndrome is highly prevalent and harmful, and has increasingly become a social problem that endangers public health. Many chronic diseases of the elderly such as hypertension, diabetes, hyperlipidemia, coronary heart disease, etc. are very closely related to long-term sleep apnea and nocturnal hypoxia. For the treatment of the disease has been plagued by most patients, whether to wear a ventilator or choose surgery, choose that hospital for surgery, choose what surgical treatment, should choose that doctor for surgery, wear the ventilator should choose that model, is it domestic or imported, is it single level or double level, how to set the pressure adjustment? If I choose to have surgery, should I have only oropharyngeal surgery or should I have nasal surgery as well? Should the surgery be done in stages or in one operation? And so on. It seems that the treatment of this disease is really complicated, and I am afraid that many doctors may not understand what is going on in this disease, not to mention the patients. To date, I have personally performed hundreds of surgical treatments for this disease, and I can say that the vast majority of patients have received very satisfactory results. The facts speak louder than words. However, there are many patients who have concerns about surgical treatment, fearing poor results or recurrence after surgery. The key is that some hospitals and doctors are not strict in choosing the indications for surgery, and some patients who should not be operated are operated, resulting in poor post-operative results in some patients and giving a discount to the surgical treatment. In fact, most patients with obstructive sleep apnea are suitable for surgery, and obstructive sleep apnea accounts for most of the sleep apnea syndrome. But even patients with obstructive still have poor results after surgery performed by some doctors in some hospitals, what is the reason? This is because the surgical treatment of sleep apnea syndrome is a big learning curve, and this surgery essentially belongs to the category of plastic surgery. The rationale of surgery is easy to understand, but it is not easy to achieve a precise grasp of the anatomy of the pharynx and a precise understanding of the principles of surgery. At present, it can be said that in the hands of different doctors in different hospitals in different provinces, this kind of surgery is done in a variety of ways. Some doctors think that it is enough to remove the tonsils, some think that it is enough to remove and suture them, some think that it is enough to cut off the uvula (commonly known as the uvula), and some think that it is enough to remove more of the soft palate, which is essentially caused by the lack of understanding of the surgical treatment of sleep apnea syndrome. The consequence is that patients have poor results, and this effect keeps spreading, causing more patients with sleep apnea syndrome to doubt and worry about the effectiveness of surgical treatment, and to distrust ENT surgeons. At the same time, newspapers and some hospital networks further mislead patients about the so-called outpatient surgery, which is less invasive and ready to go, so that many patients go blindly with the idea of trying, and the postoperative effect is undoubtedly not ideal. Some doctors also play a role in pushing the wave, devaluing the efficacy of surgery and exaggerating the therapeutic effect of ventilator is very common, and it can be said that some patients are afraid to operate because they have heard such wrong propaganda from some so-called experts. The most classical treatment for patients with obstructive sleep apnea syndrome —- surgery is distorted in this way. How to look at surgery for sleep apnea syndrome in a rational way? What kind of patients can be cured by surgical treatment? What kind of patients should never be treated surgically? What kind of patients can be treated surgically but not completely cured, but should be operated anyway? These are questions that have always been debated by ENT professionals in recent years. After the accumulation of experience in recent years, it can be said that a relatively mature theoretical system has been basically formed. In terms of surgical methods and surgical tools, a relatively unanimous opinion has also been formed. Among the many surgical methods and tools, the palatopharyngoplasty with preservation of the uvula advocated by Prof. Han Demin has been widely recognized by his colleagues at home and abroad, while the low-temperature plasma ablation has become a minimally invasive surgical technique favored by ENT surgeons. Although lasers, scalpels and electric knives are still used by most doctors, cryoplasma surgery in the hands of a surgeon skilled in this technology can control the surgical bleeding to less than 20 ml, and the postoperative scar is significantly reduced, the postoperative recovery time is relatively fast, the postoperative patient response is mild, and the surgery can be repeated several times, making it a truly minimally invasive surgical procedure. Although there are still many doctors who are skeptical about this technology, there are more and more doctors who have revolutionized the concept from skepticism to curiosity to experimentation to affirmation to esteem. I have experienced just such a typical journey. Since I started plasma surgery in 2005, it has taken nearly 500 surgeries to reach a comfortable understanding and application of the technology. The actual plasma surgery is not as simple as it seems, and there is a world of difference between skilled and unskilled application, and it has to go through a relatively long learning curve like any new technology. There are unique skills and requirements in the treatment of many ENT conditions. I have seen many patients who have been treated with plasma surgery in other hospitals, many patients do not have the right surgery or surgery is done too much, patients feel the efficacy is not good to ask for reoperation, but for sleep apnea syndrome surgery is difficult to make up, if the removal of improper tissue will cause complications such as choking and open nasal sounds in the patient’s diet, and the normal structure of the removal will not be able to rebuild, the patient’s pain will be long-term Even lifelong. Therefore, patients must be careful before choosing surgical treatment, and must not take this surgery seriously, thinking that it is a minor surgery, just do it.