Facial muscle spasm is a common neurological disorder, which is a painless, intermittent, involuntary and irregular tonic contraction or spasm of the facial muscles innervated by the same facial nerve. The twitches are paroxysmal and irregular, and the symptoms are aggravated by exertion and mental stress. The disease mostly starts from the eyelids and gradually involves the entire facial muscles, and in severe cases involves the corners of the mouth. Facial muscle spasm is so harmful, if not treated facial muscle spasm can be self-healing? Facial myospasm does not heal itself once it develops, because most facial myospasm is caused by vascular compression of the facial nerve root, and with age, it is easy to vascular sclerosis, which aggravates the disease, and some patients in the late stage of the disease paralysis and convulsions stop. Therefore, facial myospasm is detected early and active treatment measures should be taken to prevent the occurrence of facial muscle paralysis. Facial muscle spasm treatment is carried out to varying degrees in hospitals all over the world. Due to information and academic reasons, the level of hospitals varies and doctors have different concepts, coupled with patients’ eagerness to seek medical treatment, resulting in irregular and unsystematic treatment of facial muscle spasm, and even some patients’ symptoms are getting heavier and heavier, eventually missing the best time for surgery. Therefore, facial myospasm should be treated by a regular hospital. At present, the treatment of facial myospasm is carried out by microvascular decompression, and through the feedback of clinical practice, most patients’ twitching symptoms can disappear after surgery. After more than 30 years of efforts and clinical experience, the neurosurgery department has perfected the preoperative examination, intraoperative detection means and surgical techniques, which makes the operation easier and safer, and the success rate of the operation has increased to more than 98%.