People with vertebral artery stenosis can effectively control its progress and prevent cerebral infarction through active treatment, but it cannot be completely cured and requires lifelong medication. Vertebral artery stenosis is mainly due to atherosclerosis, plaque formation and other etiological factors leading to the obstruction of blood supply to brain tissues, which may manifest symptoms such as unsteady gait, nausea, vomiting, vertigo, diplopia and other symptoms, or there may be no obvious clinical symptoms. For mild-to-moderate vertebral artery stenosis, the main focus is on medication, such as aspirin, atorvastatin and other anti-platelet aggregation and plaque stabilizing medications, to control its progression; for some patients with moderate stenosis and severe stenosis, vascular interventional surgery can be performed, and after the surgery, oral aspirin and atorvastatin are also required. In addition, it is necessary to control other risk factors leading to atherosclerosis, such as blood pressure, blood lipids, blood glucose, etc., should eat a light diet, quit smoking and drinking, appropriate exercise, ensure sleep and maintain a stable state of mind. Through comprehensive treatment, disease progression can be effectively controlled. Patients with vertebral artery stenosis are advised to seek medical advice and treatment in a timely manner and not to blindly self-medicate.