Stroke is a chronic, acute cerebrovascular disease with a high incidence, disability and mortality rate, especially ischemic cerebrovascular disease, which accounts for 5/6 of all strokes, and there are a large number of people with high risk factors for stroke: hypertension, diabetes, dyslipidemia, atrial fibrillation, smokers and obese people. The vast majority of these people have not been assessed for stroke risk. Not only that, but there are nearly 3 million new ischemic stroke cases and about 2 million deaths each year in China. The literature reports that 20-30% of new stroke cases each year are caused by carotid artery disease. Cases with severe carotid stenosis and/or those that have caused ischemic symptoms require surgical intervention to prevent disabling or even fatal cerebral infarction. Current international surgical interventions for carotid atherosclerotic plaque stenosis include carotid endarterectomy (CEA) as well as carotid stenting (CAS). Among them, CEA can completely remove atherosclerotic plaque, the “garbage” in the carotid artery, under direct vision to restore normal carotid artery diameter and blood flow, and more effectively prevent ischemic stroke (Figure 1). CEA has been included in the American Heart Association and Stroke Association (AHA/ASA) guidelines for primary and secondary prevention of stroke, and has become the “gold standard” for surgical treatment of carotid stenosis. In recent years, the implementation of CEA to prevent ischemic stroke has also been promoted in major medical centers nationwide as a key project of the National Health and Family Planning Commission’s Stroke Prevention and Control Project, which has just been launched in recent years. The neurosurgery team of the Third Affiliated Hospital of Sun Yat-sen University, in response to the call of the National Health and Family Planning Commission, has performed carotid endarterectomy earlier in Guangdong, and has mastered the “flip method” and “patch method” of carotid endarterectomy. We can select the appropriate procedure according to the different conditions of patients. Our other carotid surgical procedures include various carotid endarterectomies, arterial thrombectomy, and intracranial and extracranial vascular bypass. We are able to provide scientific and timely surgical treatment for patients with carotid artery stenosis (or occlusion).