For the treatment of pituitary adenomas, the outcome of the treatment is most important from a medical point of view. In recent years, a brand new concept has been proposed in the medical field is to treat the patient according to his or her condition. In the past, the evaluation of a surgeon was mainly based on whether the tumor could be removed, especially some difficult tumors. If the tumor can be treated and removed cleanly, a good surgeon is a good surgeon. The post-operative patient condition was not the main basis for evaluating the surgeon. Therefore, there is often such an embarrassing phenomenon: before surgery, the patient’s limbs can move; after surgery, although the tumor is cleaned, the patient’s limbs all functions are lost. This situation is by no means rare. The improvement of quality of life is most important. The tumor is gone, but the person is paralyzed. For patients, such surgery is sometimes not worth the cost. Nowadays, there is a fundamental shift in the concept of pituitary adenoma treatment, breaking away from the past evaluation criteria for surgeons and emphasizing a holistic approach to treatment by considering the patient as a whole. Factors such as what treatment will be used, how much improvement the patient will experience after treatment, and how to get the best outcome for the patient will be fully considered before treatment. After treatment, attention is paid to the overall outcome of the patient, for example, whether the symptoms have improved, whether the quality of life has improved, etc. These are the only purposes of treatment and the criteria by which doctors are judged. In summary, the goal of surgery for pituitary tumors is not to “get rid of everything”, but to help patients improve their symptoms and improve their lives.