In clinical practice, brain cyst surgery may or may not require craniotomy, in which case it is important to improve the relevant tests and evaluate the patient’s actual condition. If the elderly are relatively weak, have relatively poor cardiopulmonary function and are not able to tolerate general anesthesia well, such patients are often treated with borehole drainage surgery without craniotomy, and basically have a relatively good result in the follow-up, but must be reviewed regularly, as such patients are prone to recurrence. If the patient is in relatively good health and can tolerate general anesthesia, and is relatively young, then craniotomy is required to remove the cyst completely. Although it is more traumatic at the time, the chances of recurrence in the follow-up are very small, so it can be better judged in the context of reality.