In the past, if the hematoma was large, we often used open intracerebral hematoma removal, which was very traumatic and had poor postoperative efficacy. Nowadays, we use simple positioning under CT, place drainage tubes in the hematoma cavity, and extract part of the liquefied blood clot at the same time during the operation, which is less traumatic, less damage to normal brain tissue, less damage to important functions, faster postoperative recovery and less chance of disability. Therefore, we now advocate timely surgery even though the patient is awake, considering that peak cerebral edema will occur after 3 days. Some family members do not want to operate because they do not consider all the problems. In fact, it is wrong, and we have encountered many such cases in our work, where we did not operate on the same day and operated only when edema caused coma appeared on the 3rd day , which is much worse compared with surgery without coma. We take this platform to advise the family to treat it correctly.