The treatment of cerebral hemorrhage caused by hypertension can be divided into conservative treatment and surgical treatment, and both should be preceded by stable control of blood pressure. Cerebral hemorrhage caused by hypertension is mainly due to the formation of microaneurysms in the cerebral blood vessels due to the lack of long-term effective control of blood pressure, which can easily cause the rupture of blood vessels when the blood pressure is too high or fluctuates significantly. Therefore, patients with cerebral hemorrhage should first actively control their blood pressure smoothly. If there is an elevated cranial pressure, the intracranial pressure should also be lowered. The principles of treatment for hypertensive cerebral hemorrhage are: dehydration to lower cranial pressure and reduce cerebral edema; adjustment of blood pressure; prevention of continued bleeding; protection of neurological function to promote recovery; and strengthening care to prevent complications. Surgical treatment of hypertensive cerebral hemorrhage mainly refers to the relatively large amount of bleeding, or conditions such as brain herniation. A moderate amount of bleeding in the basal ganglia area can be treated by choosing minimally invasive surgery at the right time according to the condition, bleeding site and medical conditions. Surgical options include drilling to extract the hematoma or direct cranial debridement surgery. This helps to improve and relieve the damage to the brain tissue. For the post-treatment of cerebral hemorrhage, in addition to continuing to actively and steadily control blood pressure, then some rehabilitation treatment can be done to improve the patient’s ability to take care of himself. In conclusion, the treatment of hypertensive cerebral hemorrhage varies from person to person, and the choice of treatment as well as surgery is based on the amount of bleeding.