The indication for craniotomy for cerebral hemorrhage requires an assessment of the patient’s bleeding volume, the site of bleeding. If the patient is conscious, the site of bleeding is supratentorial and infratentorial. If the supratentorial hematoma is more than 30mL and the infratentorial hematoma is more than 10mL, surgery is preferred. If the patient is conscious at the time of admission, conservative treatment is preferred. If the patient is less conscious after admission, or is conscious at the time of admission, but becomes less conscious after admission, this is called progressive worsening of consciousness disorder, and is an absolute indication for surgery. For elderly patients, the amount of hematoma may be relatively large, but the patient’s consciousness is relatively good, this kind of tend to conservative treatment, the patient’s age is more than 80 years old, the risk of doing surgery is greater, do craniotomy need to interrupt breathing. The lung function of elderly patients is relatively poor, and after interruption of breathing, it may be difficult to recover spontaneous breathing, and long-term treatment may require wearing a ventilator.