Palatopharyngoplasty is a common surgical procedure for patients with obstructive sleep apnea. The selection of surgical indications is the key factor for the success of the surgery. The TCM system is used to evaluate the curative effect of velopharyngoplasty. Although it has been widely used in clinical practice, However, there are still problems that need attention in practical application. This article will interpret the TCM scoring system in the form of case analysis, so that it has more guiding value in practical application.