Auditory neuroma is a benign tumor located outside the brain tissue. Early symptoms are mostly hearing loss, tinnitus and dizziness. With the increase of tumor, numbness and pain in the face and unstable gait can gradually appear; in serious cases, it can cause obstructive hydrocephalus and impaired brainstem function, leading to coma and even life-threatening. With the development of microsurgery and the increasing maturity of equipment and technology, surgery is now considered to be the best choice for the treatment of auditory neuroma, and this view has been recognized by many domestic and foreign medical experts. The anatomical structure of the area where the auditory neuroma is located is complex, adjacent to the brainstem and involving several groups of cranial nerves and blood vessels, so it can be said that surgery for auditory neuroma is a difficult and high-risk surgery that tests the skills of neurosurgeons and represents the surgical level of neurosurgeons. The current surgical treatment we use for auditory neuroma: a curved incision with a radius of 3cm behind the ear and a bone window with a radius of about 1.5-2cm, using the natural gap between the cerebellum and the rock bone to achieve the removal of the tumor without damaging the brain tissue. In addition to the size, texture, blood supply and adhesion of the tumor to the surrounding tissues, the surgeon’s microscopic operation technique, surgical concept, and the availability of advanced instruments and equipment such as ultrasonic suction, high-speed grinding drill, and neurophysiological monitoring are all key factors in determining the surgical outcome. In the surgical treatment of auditory neuroma, minimally invasive microsurgery is the first choice for the treatment of auditory neuroma when all the instruments, microscopic techniques and surgical concepts are available, which can safely remove all the tumors.