Zhang, a 57-year-old female, was admitted to the hospital with “dizziness, vomiting and neck pain for more than 10 days after surgery for bile duct cell carcinoma”. On examination, the right limb was mildly paralyzed, and MRI showed multiple metastases in the right occipital and parietal lobes with brain herniation. The right occipital lobe metastases were completely resected and postoperative Chinese medicine treatment was given. After treatment, the patient’s right limb palsy was cured, and the MRI was repeated 2 weeks later and showed that the cerebral edema had subsided and the metastases had disappeared. From the above patient’s treatment results, we can see that metastases still have a great chance of surgery. Some patients think that there is no chance of surgery because brain metastases have already occurred, and this view misses many surgical opportunities.