Initially, it is estimated that there are more than one million people with traumatic spinal cord injury in China, and this group of people has different degrees of sexual dysfunction, and their sexual needs are hardly understood or noticed by society. There are three reasons related to this: 1. Chinese traditional consciousness tends to avoid the issue of sex, and patients with spinal cord injury (or paraplegia) cannot correctly understand sex as one of the human rights signs; 2. The medical field rarely provides sex-related service technology, especially for people with disabilities; 3. The sexual demands of spinal cord injury patients cannot be recognized and understood by healthy people. After a long period of contact and communication with a large number of spinal cord injury patients, we deeply believe that it is necessary to advocate the establishment of an understanding to the society, and it is necessary to introduce some general knowledge of sexual rehabilitation and reconstruction to spinal cord injury patients. Does a person with spinal cord injury have a sexual desire? The first thing that needs to be clarified is that patients with spinal cord injury (or paraplegia) have sexual requirements. This requirement is not only psychological but also physical, just like normal people, and it is important to maintain the patient’s family and physical and mental integrity. Let’s look at a set of statistics: 42% of patients with cervical and thoracic spinal cord injuries have reflex penile erection, 21% have psychogenic erection, 23% can have successful sexual intercourse, and 10% can ejaculate. The results are even better with the help of medications, sexual aids and medical sexual service techniques. What are some ways to improve sexual function in patients with spinal cord injury? For men; the process of sexual arousal includes: psychological demand, sexual excitement, penile erection and ejaculation. The most critical aspect of having sexual function is the ability to have an erection, have some hardness and maintain it for a certain amount of time. The following methods can improve the erectile function of the penis: 1. Drugs There are two main types of drugs commonly used to improve sexual function. Virag et al. (1982) first reported the use of poppyine injection into the penile corpus cavernosum to restore the erectile ability of patients with spinal cord injury. The injection site is at the posterior lateral aspect of the penile root and the dose used can be 10-80 mg. Erections occur within 3-5 minutes of injection and can be maintained for more than 60 minutes. It is more effective if a rubber band is placed at the root of the penis after the injection to block blood flow back to the penis to maintain an erection. The side effects of drug injection are generally mild, but the most serious comorbidity is abnormal prolonged erection of the penis, which is common in patients who combine poppy bases and phentolamine and need to come to the hospital for treatment. 2.Vacuum negative pressure suction technique Vacuum negative pressure suction technique therapy is to use a device that generates negative pressure in which the penis is placed, using the negative pressure to make the penis enlarge, and then using a rubber ring placed at the root of the penis to block the blood flow, so that the penis remains erect for up to 30 minutes. Drug injection can be combined with vacuum technology to enhance the therapeutic effect. 3.Surgical implantation of penile prosthesis A penile prosthesis is surgically implanted into the penile corpus cavernosum. There are two types of prostheses: semirigid and infalatable. They have been used more commonly since the late 1970s. Most of the male patients who use penile prosthesis can make their partners’ sexual life reach the level of basic satisfaction. 4, psychological counseling Since sexual problems have an extremely strong psychological element. No matter what kind of treatment is adopted, it is necessary to communicate effectively with the patients to understand their requirements and their attitude towards sex. If at the same time the patient can be made to correctly understand and accept the concept of sex as one of the signs of human rights. Patients and their relatives will take a more positive attitude during the treatment process. There is a lack of communication about sexual experiences among foreigners for a long time, and a significant number of people do not have the most basic concepts and common sense, so there is also a need for sexual rehabilitation medicine practitioners to teach some sexual knowledge and skills related to spinal cord injury patients. The above is mainly for male spinal cord injury patients. For female spinal cord injury patients with sexual dysfunction, there are a few points to understand: menstruation in female patients generally returns to normal within 1 year, with an average of 5-6 months, and some female patients, even complete childbirth. But the injury itself has a significant impact on the psychology of the patient and the psychology of the spouse. Sensory impairment of the genitalia and physical activity disorders can also affect sexual life to some extent and require the use of some adaptive techniques. But sexual response and sexual sensitivity organs are not only genitalia, other parts such as breast, shoulder, neck, or mouth and lips can become sexually sensitive areas. If the sensitive areas can be shifted to these areas, it is still enough to stimulate orgasm. In addition, female patients can still satisfy their spouses even though they have reduced or lost sensation in the genitals. One thing to be aware of is urinary tract infections and injuries.