So for a patient, how to choose the right surgery for him/her with relative precision, then understanding the concept and knowledge about minimally invasive will help. 1, the initial concept of minimally invasive surgery is to reduce the surgical path injury, such as cholecystectomy itself is very small injury, but to be in the abdominal wall needs to open a relatively large incision to carry out cholecystectomy operation, and the invention of television laparoscopy can be in the abdominal wall to play a few holes can be accomplished by the removal of the cholecystectomy, which reduces the path of entry injury, speed up the recovery of the patient, and at the same time play a cosmetic effect. Therefore, the initial minimally invasive surgery started with a large number of cholecystectomies, and then further promoted to appendectomies, other intra-abdominal surgeries, as well as gynecological surgeries, thoracic surgeries, and so on. 2. Minimally invasive surgery is a revolutionary change in the history of surgery, changing the approach of traditional surgery, reducing the approach trauma, increasing the cosmetic effect, accelerating the recovery of patients, but it is only a fusion of traditional surgery on top of the various surgical techniques, rather than an independent treatment, such as whether the open incision or laparoscopic surgery requires the removal of the gallbladder or appendix. 3, with the progress and development of medicine, modern medical technology for the treatment of disease to provide a variety of case-by-case options, so in recent years the concept of minimally invasive surgery or minimally invasive treatment or minimally invasive technology to be generalized, the people will be all to make the patient’s recovery faster, to reduce the damage, preserving the form and function of the organs of a variety of medical means can be called minimally invasive. Such as the original large incision into a small incision, rectal lesions, a variety of anus-preserving technology, image-guided puncture technology, embolization technology, stenting, microwave ablation, conformal radiotherapy, a variety of endoscopic techniques under the operation, composite anesthesia technology, reduction of surgical bleeding, shortening of surgical time, and so on. This requires the clinician to have good and comprehensive medical knowledge and skills, detailed understanding of the condition, rational development of treatment programs and the use of appropriate treatment. For example, a patient with low rectal cancer combined with isolated intracranial metastasis, the treatment plan formulated by the author is to treat intracranial tumor with Gamma Knife, rectal cancer with radiotherapy and regular follow-up, and so far he has survived for 4 years without any surgery. Doctors should apply the concept of minimally invasive treatment flexibly and accurately instead of pursuing some so-called minimally invasive treatment. For example, if a liver metastatic lesion of colon cancer with a diameter of less than 2CM can be treated with radiofrequency ablation with the same effect as surgery, then ablation treatment can be preferred, and if the diameter is larger than a reasonable range of radiofrequency ablation, resection is preferred, and the opportunity for minimally invasive treatment should not be lost for R0 resection opportunity. For larger tumors, neo-neoadjuvant chemotherapy is appropriate, and the decision of what modality to use will be made after they have shrunk. This minimally invasive treatment mode centered on rational treatment of patients puts forward higher technical requirements for clinical specialists, which requires continuous learning and practice. 5. The partial pursuit of minimally invasive treatment by doctors and patients will make the treatment result counterproductive. Negative examples abound in this regard, such as a gastric surgery patient asked for laparoscopic cholecystectomy, resulting in intraoperative damage to the right hepatic duct, and later died of peritonitis resulting in multi-organ failure. From the technical point of view of surgery, open surgery is more traumatic but safer, because open surgery is more intuitive, and the operation and exposure are more direct, whereas laparoscopic surgery is basically a single-person operation, and there is a learning curve. There is a learning curve, as the surgeon needs to go from unfamiliarity to proficiency, and it has been studied that the process of more complex laparoscopic gastrointestinal surgeries requires clinical practice with about 50 patients. Therefore, both doctors and patients should not aim at minimally invasive, but should aim at better treatment of the disease. We have always emphasized the importance of mid-rotation laparotomy in the process of laparoscopic surgery, which is a kind of guarantee for the safety of patients’ lives. For patients with gastrointestinal malignant tumors, there is basically only one chance for surgery to obtain radical resection, and the size of the wound is basically negligible for life-threatening diseases, and thus should not be pursued for laparoscopic surgery. Open surgery is adapted to almost all patients with gastrointestinal tumors, and laparoscopic surgery is only used for early-stage tumors and carried out in the experienced units at the present time, which can be seen that laparoscopic radical surgery for gastrointestinal tumors is very important for patients with malignant tumors. It can be seen that laparoscopic radical surgery for gastrointestinal tumors is very cautious for patients with malignant tumors. To summarize, minimally invasive surgery or minimally invasive technology nowadays has been converted from many original single improved techniques to a modern medical concept, which needs to be carried out in the whole process of clinical medicine. For example, the common infusion puncture is very painful for long-term infusion patients, but the modern PICC or infusion port technology solves the pain of daily puncture. Modern minimally invasive technology puts forward higher technical requirements, equipment requirements and hospital management requirements for doctors. Different diseases have different minimally invasive techniques, rather than simply representing the concept of minimally invasive by saying that cutting the gallbladder is done by laparoscopic surgery. In this situation, the medical technology and management level of doctors’ efforts to improve the medical technology and management level is an important foundation for reducing the pain of patients and accelerating their recovery, and patients should accept the guidance of specialists. Patients should accept the guidance of specialists and choose superior hospitals or specialties to receive reasonable treatment, rather than blindly saying that minimally invasive treatment is needed.