Post-shunt slit ventricle (shunt-induced slit ventricle syndrome) is one of the common complications after shunt surgery. It is caused by improper shunt pressure selection. A significant number of cases can be treated with neuroendoscopic surgery to remove the shunt and eliminate the patient’s lifelong dependence on the shunt. Since 2006, our team has successfully removed more than 100 shunts. After bilateral ventriculo-peritoneal shunts, a fissured ventricle was seen, with bilateral intraventricular shunts visible on CT and disappearance of the lateral ventricles: after ligation of the bilateral shunts, the lateral ventricles were dilated: endoscopic exploration showed that the right shunt passed through and was encircled by the choroid plexus in the bilateral ventricles, and the left shunt was still in good position: the surgical result was successful removal of the left shunt, and the distal end of the right shunt was removed after ligation, without forced separation of the ventricular end.