Difficulty breathing and chest tightness are very common symptoms in clinical practice. Since there are many triggering factors that can cause these symptoms, it is generally not recommended for patients experiencing difficulty breathing and chest tightness to undergo vocal cord surgery. It is advisable for patients to identify the triggering factors causing these symptoms and effectively improve these symptoms before considering vocal cord surgery. This is important because anesthesia, which is necessary for vocal cord surgery, could be harmful if the patient has underlying cardiovascular diseases. Therefore, it is recommended that such patients find and eliminate the triggering factors, improve their current discomforting symptoms, and only consider vocal cord surgery after their symptoms have fully improved.