Objective To investigate the choice of surgical treatments for patients with bilateral vocal cord paralysis. Methods A retrospective analysis the operation and postoperative treatments in patients with bilateral vocal cord paralysis,from Jannuary 2000 to December 2007 in our hospital. Results A total of 29 operations were applied in 16 cases patients with bilateral vocal cord paralysis.Four cases of patients with nasopharyngeal carcinoma were received one time tracheotomy after radiotherapy.The others were received operation therapy for a total of 25 times.The average operation times in these groups was 2.1.Among them:Two patients were received one time operation,accounted for 16.7%(2/12);Five patients were received two times operation,accounted for 41.7%(5/12);Three patients were received three times operation,accounted for 25%(3/12);One patient was received four times operation,accounted for 6.3%(1/12).The surgical treatments included of tracheotomy,neuromuscular pedicle transplantation,lateral cordopexy,the laryngoscope vocal cord operation by CO₂ laser and laryngofissure unilateral vocal cord resection. Conclusion There have a variety of surgical options for bilateral vocal cord paralysis.Clinicians should provide individualized treatment plans for patients combined with their specific circumstances.