Surgical records should be written and signed by the operator in principle, and only by the first assistant under special circumstances. It is absolutely forbidden to write or sign by doctors who are not involved in the operation. According to Article 22 of the Basic Specification for Medical Record Writing, the operation record refers to the special record written by the operator to reflect the general situation of the operation, the operation process, the findings and handling during the operation, and should be completed within 24 hours after the operation. Under special circumstances, when written by the first assistant, it should be signed by the operator. Item 15 of Article 22 of the Basic Code for Medical Record Writing refers to the continuous record of the patient's condition and diagnosis and treatment process after the admission record. The contents include patient's condition change, important auxiliary examination results and clinical significance, superior doctors' rounds, consultation opinions, doctors' analysis and discussion opinions, diagnosis and treatment measures and effects, changes and reasons of doctor's orders, important matters to inform patients and their close relatives, etc. Requirements and contents of course record: (15) Operation record refers to a special record written by the operator to reflect the general situation of the operation, the operation process, the findings and treatment during the operation, which should be completed within 24 hours after the operation. Under special circumstances, when written by the first assistant, it should be signed by the operator. The operation record should be written on a separate page, including general items (patient's name, gender, department, ward, bed number, inpatient medical record number or medical record number), operation date, preoperative diagnosis, intraoperative diagnosis, operation name, operator's and assistant's name, anesthesia method, operation process, intraoperative situation and treatment, etc.