The idea of treatment is ingrained in the minds of many doctors and patients, preventing them from accepting migraines in today’s medically advanced world. Migraines are not uncommon in life, but it is almost unheard of for migraine sufferers to be completely cured. This is due to the fact that migraines are relieved with medication and not cured by surgical pain. Severe migraine sufferers who change their mindset and seek surgical solutions in neurosurgery will have the potential to cure their migraines and stay away from headache torment. What are the principles of migraine treatment? In surgery, the principle of microvascular decompression for migraine is based on the neurovascular theory, which states that there are many parallel blood vessels and nerves on the human scalp, and for some reasons the blood vessels and other tissues cause pressure on the nerves or even entangle with each other, and in this case, migraine is very likely to occur. Under the influence of some self and external factors, such as endocrine and metabolic abnormalities, hormonal changes in the body, or smoking and alcohol abuse, overwork, lack of sleep, mental depression, and improper diet, migraine attacks can be triggered, which is why migraine attacks recur. The treatment principle of microvascular decompression is to release this compression relationship, and the pain point will be naturally released, and the migraine will be treated as a result. Currently, many migraine patients have recovered well from this procedure, and they all praise the microvascular decompression. Therefore, the most important task now is to make the microvascular decompression procedure more familiar to more migraine patients.