The vast majority of patients with cervical spondylosis do not require surgery and can be cured or relieved by non-surgical comprehensive conservative treatment, and only about ten percent of cervical spondylosis patients require surgery. For spinal cord type cervical spondylosis, surgery should be performed as soon as possible after diagnosis. For other types of cervical spondylosis, non-surgical conservative treatment should be preferred because the vast majority of patients can achieve significant remission or cure with non-surgical treatment, while surgical treatment is mainly for patients with more serious symptoms, who have recurrent attacks after strict non-surgical conservative treatment is ineffective or the efficacy is not consolidated. Therefore, after being diagnosed with cervical spondylosis, patients should not just hope for conservative treatment and have obvious nerve damage, and still do not accept the doctor’s advice to operate, which will lead to further development of the disease and make it difficult to remove the functional disorder. Generally speaking, the indications for surgery for cervical spondylosis are relative. Surgery for cervical spondylosis is complex and involves certain risks, so the indications for surgery should be strictly controlled. If a patient is contraindicated for surgery, surgical treatment is not an option. The pathological mechanisms and clinical manifestations of cervical spondylosis are currently recognized as complex, and the appropriate surgical modality should be selected according to the different conditions. (1) Cervical cervical spondylosis requiring surgery: In principle, cervical cervical spondylosis does not require surgery, but only in rare cases where long-term non-surgical treatment is ineffective and seriously affects normal life or workers, surgery may be considered. Since there are still some differences in the understanding of cervical cervical spondylosis and myofasciitis of the collar and back muscles among orthopedic specialists, surgery for cervical cervical spondylosis should be performed with great caution. (2) Cases requiring surgery for neurogenic cervical spondylosis: In principle, non-surgical treatment should be adopted first for neurogenic cervical spondylosis, and the vast majority of patients do not need surgery. Surgery can be considered in one of the following cases: regular and systematic non-surgical treatment is ineffective for 3-6 months, or non-surgical treatment is effective but recurrent and serious, affecting normal life or workers; progressive atrophy of the innervated muscles due to compression and irritation of the nerve roots; obvious symptoms of nerve root irritation, acute severe pain, and serious disruption of sleep and normal life. affecting sleep and normal life. (3) Spinal cord cervical spondylosis requiring surgery: Since the vast majority of patients with spinal cord cervical spondylosis cannot effectively relieve their symptoms with conservative treatment, some patients use conservative treatment because they do not want to undergo surgery, and the vast majority of them have worsened symptoms or irreversible tetraplegia during conservative treatment. Therefore, in principle, once spinal cord cervical spondylosis is diagnosed and there are no contraindications to surgery, surgery should be performed as soon as possible. If the spinal canal is wide and the symptoms are mild, some non-surgical treatment can be taken appropriately and regular follow-up is required, but if the treatment is ineffective or the symptoms worsen, surgery should be performed as soon as possible. (4) Cases requiring surgery for vertebral artery cervical spondylosis: Non-surgical conservative treatment should be preferred for the majority of vertebral artery cervical spondylosis, while surgery can be considered for those with the following conditions Cervical vertigo with a history of sudden collapse that has failed to respond to non-operative treatment. Those whose diagnosis of vertebral artery type cervical spondylosis has been confirmed by cervical vertebral arteriography or MRI vertebral artery visualization, and whose conservative treatment is not effective. (5) Sympathetic cervical spondylosis requiring surgery: In sympathetic cervical spondylosis, the majority of conservative treatment can have good results. Surgery can be considered only if the symptoms seriously affect the patient’s life, the non-surgical treatment is ineffective, the symptoms are significantly reduced as confirmed by cervical sympathetic nerve closure or cervical high epidural closure test, and the segmental instability or disc bulge is confirmed. However, since sympathetic cervical spondylosis is difficult to distinguish from neurosis and menopausal syndrome, and some patients may even have exaggerated symptoms due to psychosomatic factors, the indications for surgery should be strictly controlled, and surgical treatment should be very cautious. (6) Surgery for other types: for other types of cervical spondylosis, such as those with difficulty in swallowing caused by the protruding bone flab at the anterior edge of the vertebral body that compresses and stimulates the esophagus in front, and for which non-surgical treatment is ineffective, the protruding bone flab at the anterior edge of the vertebral body can be removed surgically to release the compression on the esophagus.