Brain stem gliomas are a heavy topic for neurosurgeons, and most gliomas themselves are on the malignant side. The brainstem is the most important organ in the human body, equivalent to the highest level nerve center, commonly known as the center of life. The brainstem is a very important nerve conduction pathway, and surgical treatment of brainstem gliomas is high risk and has a poor prognosis relative to most patients. In the neurosurgical community, brainstem glioma surgery is risky and there are only a handful of neurosurgeons who can do it well. If a brainstem glioma is present, some patients may not be able to undergo complete surgical resection, but can only undergo a biopsy to determine the type of pathology, and then undergo adjuvant radiotherapy and chemotherapy. If the tumor grows expansively and the borders are relatively clear, surgery is more effective. However, in general, brainstem glioma surgery is risky, with heavy postoperative complications and a poor prognosis, and the requirements for surgeons are very high.