The cost of trigeminal neuralgia treatment is usually about 30,000, and the surgery is minimally invasive, safe and effective. If the medication is ineffective, or the efficacy gradually decreases, and the patient’s symptoms significantly worsen, which seriously affects the patient’s work and daily life, it is recommended to implement microvascular decompression surgery treatment. Currently, microvascular decompression has become the preferred surgical treatment for trigeminal neuralgia. Because of its clear theoretical basis, it is believed that most patients with trigeminal neuralgia are caused by vascular compression of the sensory roots of the trigeminal nerve into the cerebral bridge area, mostly by compression of the superior cerebellar artery. MRI of the head before surgery can clarify the compressed blood vessels, so that the targeting can be done. Foreign bulk cases report a 10-year pain-free rate of 80% and a recurrence rate of 20%, with recurrence occurring mostly in the first 2 years after surgery. I personally have completed nearly 500 cases of surgery, and the clinical efficiency is 90-98% in the near future and 85% in the long term. The recurrence rate is 5-10%. There are no cases of postoperative exacerbation. Microvascular decompression surgery is very mature at present, the surgery is minimally invasive, the skin incision in the hairline behind the ear is 4-5 cm, the hole in the skull is the size of a dollar coin, the blood vessels compressing the trigeminal nerve are separated during the surgery, and the hospital spacer is used to open it, the postoperative recovery is fast, and the patient can be discharged 4-5 days after the surgery. Possible complications: transient small facial numbness, diplopia, postoperative transient dizziness, cerebrospinal fluid leakage, bleeding, cerebellar infarction, meningitis and infection, etc. Due to the improvement of surgical equipment and technology, these complications have rarely occurred, usually around 1-2%. The normal cost is about 30,000 yuan (all expenses from hospitalization to discharge).