Recovery after craniotomy for cerebral infarction varies greatly, some patients can be awake, but may be accompanied by neurological dysfunction, and severe coma will be a vegetative state of existence, or even death. When cerebral infarction requires craniotomy, the scope of cerebral infarction is often larger, cerebral edema is more obvious, if there is no consciousness disorder before surgery or the patient is in shallow coma without cerebral herniation, after craniotomy, the patient is able to regain consciousness after relevant treatments, but it is often accompanied by hemiplegia, aphasia, epilepsy, unsteady gait, etc., which will be improved after rehabilitation, but it will be difficult to recover completely. Some patients with massive cerebral infarction had coma or even brain hernia before the surgery. Even if craniotomy is performed, most of them will be accompanied by symptoms of impaired neurological function such as limb motor and sensory dysfunction, epilepsy, aphasia or dysphagia, hoarseness and so on, and the serious ones may be in coma for a long time, or even die. After craniotomy for cerebral infarction, we need to go to the neurosurgery department of regular hospitals for individualized treatment according to the patient’s specific situation and promote the patient’s better recovery as soon as possible.