Vocal cord nodules generally do not require surgery, and most patients consider conservative treatment. Conservative treatment is mainly divided into two aspects. The first is voice training, which involves standardized voice training under the guidance of a professional voice doctor. This treatment method is non-invasive, and the overall effect is generally good. The second is pharmacological treatment, which currently mainly involves oral traditional Chinese medicine, and may also consider combining with nebulized drugs for comprehensive treatment. Most patients can achieve effective control and relief. If conservative treatment is not effective and symptoms like hoarseness are particularly pronounced, surgery might be considered, and regular follow-ups are needed after surgery to avoid overuse of the voice.