The success rate of surgery for saddle meningioma is relatively high, generally reaching 90-94%, but it needs to be clear that each individual’s condition is different and determines the success rate of saddle meningioma surgery. For simple saddle meningioma, no vascular encirclement, no erosion of surrounding bone, early detection, most of them are benign, surgery generally requires complete excision, complete excision without residue, and the surgery is very successful. However, in clinical practice, meningiomas in the saddle area may be larger in size, encircle the surrounding blood vessels and nerves, encroach on the bone and compress the normal nerve tissue, so the success rate of surgery is relatively low. Because it is almost impossible to achieve complete resection in this case, only the tumor can be removed as much as possible, and the surrounding normal neurovascular has to be protected, and necessary vascular anastomosis or skull base reconstruction has to be performed, so the surgery is more complicated, so it affects the success rate of surgery. Therefore, for the success rate of surgery for saddle area tumor, it is necessary to make specific analysis according to the patient’s specific situation, clarify their own condition and make better evaluation.