Scraping therapy is ineffective for vocal cord nodules and serves no purpose. Vocal cord nodules are bilateral vocal cord lesions caused by prolonged improper voice use, excessive strain, loud yelling, and irritation from acid reflux. These nodules can result in incomplete closure of the vocal cords, leading to a hoarse voice. If a patient experiences long-term hoarseness, they must go to a hospital for an examination with a video laryngoscope. This can reveal a symmetrical, smooth, pale nodule at the anterior middle third of the vocal cords. For treatment, medications and scraping therapy are ineffective for vocal cord nodules. Instead, surgical removal of the nodules under endoscopic guidance is necessary. The surgery requires hospitalization, general anesthesia, and postoperative antibiotics to avoid local infection, with recovery and discharge possible in about a week. Patients also need to completely rest their voice for a week after surgery to prevent recurrence.