Treatment of cerebral arteriovenous malformations includes surgical treatment, interventional treatment, gamma knife treatment, and conservative treatment, which is also known as observation. Each treatment has its own advantages and disadvantages, which means that no treatment is absolutely safe or effective, which explains the complexity of the treatment of cerebral arteriovenous malformations. Treatment options need to be individualized according to the patient’s age, general condition, location, size, depth of the cerebral arteriovenous malformation, blood supplying arteries, vascular nests and draining veins, etc., and in some cases a combination of these treatments is required. In general, smaller arteriovenous malformations located in non-functional areas are better treated surgically. For arteriovenous malformations located in important functional areas, the patient’s neurological function may be affected regardless of the treatment. Gamma knife is more effective for cerebral arteriovenous malformations with a typical malformed vascular mass and within 3 cm in diameter. Interventional treatment also has the potential to cure small arteriovenous malformations in a single visit. However, for larger diameter, deeper location and extensive blood supply cerebral arteriovenous malformations, either treatment method is more difficult. Interventional embolization can be considered first in a fraction of the time to reduce the size of the cerebral arteriovenous malformation, or interventional treatment combined with surgery and gamma knife treatment.