Gamma knife as the first choice of treatment for small and medium-sized auditory neuroma, its efficacy is more certain, with the advantages of good efficacy, less trauma, for facial nerve, auditory nerve and other nerve damage is relatively light, so the effect is better after treatment. more than 95% of patients are well controlled role, but the premise of treatment is to be strictly grasp the indications. As a large auditory neuroma or preferred craniotomy, such as greater than 3cm or more, for the surrounding brainstem, nerve compression is more obvious, there are serious symptoms caused by facial paralysis, walking instability, ataxia, such patients preferred craniotomy, and for small and medium-sized auditory neuroma, the role of gamma knife is more certain. Because these patients as long as the gamma knife treatment after regular review and follow-up, through the experience of treatment, after treatment can achieve good control role, more than 95% of patients can achieve good control.