Brain hemorrhage is a serious problem as it sounds. Brain hemorrhage can cause damage to the spread of functional areas of the brain, which can cause speech impairment and so on. In clinical practice, brain hemorrhage can occur for many reasons, such as suffering from certain cerebrovascular diseases or having cranio-cerebral trauma. Once a sudden brain hemorrhage occurs, if it is serious, what should be done is to save the patient’s life by timely treatment through surgery. Brain hemorrhage surgery is a craniotomy, which requires a window in the skull, and if combined with high cranial pressure, the skull defect will inevitably remain after surgery. The skull defect should be done in time for skull repair surgery, so as to avoid greater harm, and this is a routine surgery in neurosurgery, after a long time of development, the technology has been quite mature, but also need patients to go to regular hospitals, choose good experts and good materials, the success rate of surgery is still very high. Is there any improvement in speech after skull repair for brain hemorrhage? This question needs a correct understanding by patients and family members. The reason why brain hemorrhage patients have speech impairment is because of the injury to the central nerve of language in the brain, which is not directly related to the skull. Doing skull repair surgery can improve the intracranial environment, improve cerebrospinal fluid circulation and improve blood supply to the cerebral cortex, which has certain positive significance to the recovery of brain nerve function and language function, but it is not inevitable.