We advocate the scientific treatment of cerebral palsy using a combination of rehabilitation and surgery. Compared to the long-term necessity of rehabilitation training, surgery requires timely cooperation at the right time, which can lay a solid foundation for the next step of rehabilitation. We have found that most children with cerebral palsy can be operated on, especially spastic cerebral palsy, which has the highest clinical incidence, and if those who meet the indications for surgery can receive FSPR surgery at the optimal age of 2.5 to 6 years old, the results are excellent. FSPR surgery is the functional selective spinal nerve root dissection, also known as “cerebral palsy stage I surgery”, which is a highly selective cutting of la fibers to eliminate muscle afferent impulses and reduce muscle spasticity, and has become the most effective method to release muscle spasticity and improve motor dysfunction in cerebral palsy. Its advantages are complete release of spasticity, good effect of reducing muscle tone, while preserving sensory function, which can significantly improve gait and significantly improve joint deformity caused by muscle spasticity. The traditional SPR technique involves selecting the posterior root of the spinal nerve at the anatomical level (naked eye) and then selecting the proportion of the spinal nerve to be cut by positioning the spinal nerve stimulation electrode. The FSPR technique, on the other hand, rises to the functional level, is based on positioning, and monitors and analyzes the type and number of nerves to be cut by means of a multi-conductor electrophysiological monitor, overcoming the subjective factors of traditional SPR, allowing the quantification of the proportion of nerves to be cut, achieving the goal of positioning and quantitative cutting of the posterior heel of the spinal nerve, making the procedure more precise and efficacious, while avoiding the medical origin of the procedure It also avoids complications such as medical paralysis and urinary incontinence. FSPR surgery is the first choice for the treatment of spastic cerebral palsy at home and abroad, and its effect is most direct and significant. It is important to note that although FSPR surgery for cerebral palsy is straightforward and effective, it is not suitable for everyone. Every pediatric cerebral palsy surgical procedure must be strictly selected for surgical indications, otherwise there will be sequelae such as loss of joint stability, inability to resist gravity, weakened muscle strength or uncoordinated movement of muscle groups asked for the sake of partial limb movement to reach a functional position. Therefore, before surgery, the surgeon should conduct a comprehensive and objective evaluation of the child’s condition together with the rehabilitation physician to enhance the indications and scientific validity of the surgery. This evaluation should be performed at least three times: before surgery, shortly after surgery, and one year after surgery, in order to judge the rehabilitation effect of the child, and to estimate whether the surgery only achieves the same therapeutic effect as the rehabilitation treatment by comparison. At the same time, a comprehensive evaluation of the outcome of the surgery should be performed every 1 year after the surgery in children with cerebral palsy to determine whether the surgery has achieved the intended long-term outcome. In addition, during the evaluation process, we should draw on the child’s past medical records to the maximum extent possible, including the child’s parents’ complaints, the diagnosis made by the physician, the results of previous evaluations, and the rehabilitation treatment records during the rehabilitation treatment; at the same time, we should also carefully conduct a team evaluation, and based on the evaluation results, we should judge whether the child needs surgery, what kind of surgery is needed, and what the postoperative results are. Of course, the rational use of second-stage cerebral palsy surgery (i.e., CP-MMA surgery) for one-time multi-limb, multi-site orthopedic treatment after FSPR for cerebral palsy can effectively balance the muscle strength of patients with cerebral palsy. It is important to find out whether the ankle clonus is due to the gastrocnemius or to the flounder muscle before surgery. As long as the knee joint is flexed, if the ankle clonus disappears, it means it is due to the gastrocnemius muscle, otherwise it is due to the flounder muscle, which can be used as a basis for choosing which tibial nerve branch to cut.