Chronic atrophic gastritis generally does not need gastric resection treatment, if accompanied by severe heterotrophic hyperplasia, gastroscopic mucosal stripping, etc., and generally does not need gastric resection treatment. Chronic atrophic gastritis refers to the destruction of gastric mucosal glands, reduction in the number of gastric mucosal glands, fibrosis of the lamina propria, reduction or disappearance of gastric mucosal folds and thinning of the mucosa can be observed under gastroscopy. Chronic atrophic gastritis in general through drug treatment, the condition can be significantly improved, the prognosis is also better. Mild chronic atrophic gastritis can be improved or reversed and does not require surgical treatment. When accompanied by heterogeneous hyperplasia, it is suggestive of precancerous gastric lesions, which may lead to gastric cancer, in which case gastroscopic mucosal stripping can be chosen, and gastric resection is not required. It is recommended to treat the above cases under the guidance of doctors and follow the advice of specialized physicians.