If only symptoms of vertigo, or nausea, tinnitus, or migraine are present, non-surgical treatment is usually chosen. For patients who are determined to have evidence of vertebral artery compression and who have been ineffective with conservative treatment, surgical treatment can be considered. The treatment plan needs to be decided according to the type of clinical manifestations of vertebral artery cervical spondylosis, and most patients with vertebral artery cervical spondylosis should avoid strenuous activities, exercise in moderation, and correct poor living and working habits.