Abstract: On the concept of surgery in the 21st century        GU Jin. Department of Gastrointestinal Oncology, Peking University Cancer Hospital, Beijing100042,China; Gastrointestinal  Surgery, Peking University Shougang Hospital, Beijing100144,China
Abstract    Since the beginning of the 21st century，with the rapid development of science and technology and the rapid advancement of information technology，surgery is also experiencing a new pattern，new concepts，new opportunities and new challenges beyond imagination brought about by the profound changes in the times.Surgeons should have an in-depth understanding of the true status of international surgery development，modern surgery concepts，surgery values，and true connotation of surgery，understand the synchronization and coordination of the health concept of human civilization and the development and synchronization of surgery，surgery and human society The development is synchronized，and the value of medical humanities and social sciences is reflected and inherited in surgery.Surgery in the 21st century has been a non-traditional skill subject with manual operation as the main subject.Understanding and understanding the development trend and scientific connotation of today's surgery is crucial for the surgeon's career；understanding its past can make the surgeon Forgetting the original intention，gain a deeper understanding of the current status of surgery and move forward.

Key words: surgery, historical review, progress

摘要： 进入21世纪以来，随着科学技术飞速发展、信息技术突飞猛进，外科学正经历着深刻的时代变革带来的超出想象的新格局、新理念、新机遇和新挑战。外科医生应深入了解现代外科学理念、外科学的价值观、外科学的真正内涵，认识人类文明进步的健康观念与外科学发展的同步与协调、外科学与人类社会发展同步、医学人文以及社会科学的价值在外科学的体现与传承。21世纪的外科学已非传统的以手工操作为主体的技能学科，了解和认识当今外科学的发展趋势和科学内涵，对外科医生职业生涯至关重要；了解其过去，更可使外科医生不忘初心，更深入认识外科学的现状，并砥砺前行。

关键词: 外科学, 历史回顾, 进展