Bilateral basal ganglia lacunar infarction is a type of cerebral infarction, which is a lesion of small vessels in the deep penetrating branches of the cerebral vessels, mostly given that patients have hypertension and diabetes mellitus as the main small vessel lesions. For patients with bilateral basal ganglia lacunar cerebral infarction, it is recommended to actively control blood pressure, blood glucose, lipids, and serum homocysteine to prevent small-vessel lesions. It is also important to monitor LDL in blood lipids regularly to prevent further cerebral atherosclerosis. If patients have plaque in the neck vessels, it is recommended that they actively initiate endovascular protection therapy, i.e., treatment with statin drugs, and regular outpatient review of liver function and blood lipid tests. Bilateral basal ganglia lacunar cerebral infarction is found to initiate secondary prevention of cerebrovascular, quit smoking and limit alcohol, etc.