The risk of brain hemorrhage surgery is determined by the different ways in which the surgery is performed. With extraventricular drainage, the surgical risk of brain hemorrhage is not great, it is minimally invasive and simple, and can be done by general residents; if the bleeding site is in the brainstem, it is more demanding and the surgical risk is higher, and it requires microscopic operation by a senior doctor or a doctor with more surgical experience. It requires microscopic operation by a senior surgeon or a surgeon with more surgical experience. It can be done by transcranial approach or subcranial transmidbrain approach, or transmedullary posterior median approach. Risks of surgery include prolonged coma, vegetative state, or hypothalamic response, or visceral vegetative disorders leading to seizures, gastrointestinal bleeding, and brainstem failure, which requires early postoperative organotomy, prevention of gastrointestinal bleeding, and prevention of complications. There are also patients with larger and more extensive cerebral hemorrhage and amyloidosis, which makes surgery more risky. After the surgery, the patient will bleed again, and some patients have coagulation disorders, and there will be extensive blood leakage after the surgery. Coagulation disorders lead to a second or third surgery after the surgery, and the risk of surgery is quite high, so it is necessary to communicate with the family before the surgery, and fully assess the patient’s prognosis, and the results of the surgery are not necessarily ideal in some patients.