AIM:To summarize and analyze the effect and characteristic of the phacoemulsification extraction and the small incision non-phacoemulsification extraction and intraocular lens(IOL), and evaluate a more suitable operation method in primary hospital. METHODS: A total of 387 cases 405 eyes was chosen and the cataract patients medical record material treated by the small incision non-phacoemulsification extraction and IOL was selected, and 256 cases 278 eyes were chosen and the cataract patients medical record material treated by the phacoemulsification extraction and IOL was selected, then the complications in the operation, after the operation, and the visual acuity restores situation were summarized. RESULTS: There was no significant difference between the phacoemulsification extraction and the small incision non-phacoemulsification extraction in complications,during operation and after operation. CONCLUSION: The small incision non-phacoemulsification extraction and IOL is safe and effective, the operation is simple, the investment and expense are few, so it is more suitable in primary hospital.