The risk of lung cancer surgery for patients with cerebral infarction is relatively high. Firstly, surgery is not suitable for acute stage of cerebral infarction; secondly, blood of lung cancer patients is in high coagulation state, which may be due to cerebral infarction caused by cancer thrombus dislodgement, and it is necessary for doctors to assess whether there is any distant metastasis of the lung cancer patients; lastly, lung cancer surgery belongs to grade IV surgery, which is high risk and traumatic, and cerebral infarction patients may have the risk of cerebral infarction again in the perioperative period, which may jeopardize the patients’ life and health at any time. Cerebral infarction patients must be careful before choosing to have lung cancer surgery. Before the surgery, it is necessary to fully assess the patient’s physical health, condition, difficulty of surgical treatment, and possible complications. Only with adequate assessment can a personalized surgical treatment plan be formulated to ensure the smooth progress of the surgery as much as possible and reduce the risk of the surgery.