In recent years, the incidence of hypertensive cerebral hemorrhage is increasing year by year due to the improvement of living standards and the acceleration of the pace of life, the increase of various mental stress, poor diet and living habits, and other factors, and the age of onset is gradually decreasing, once the cerebral hemorrhage causes a great negative impact on individuals and families as well as society. Therefore, prevention is the key, reasonable dietary habits, regular lifestyle, appropriate outdoor sports and physical activities, happy mood and regular physical examination and reasonable medication can reduce the incidence of hypertensive cerebral hemorrhage. However, once the cerebral hemorrhage occurs, it should be treated timely and effectively. Patients with small amount of bleeding can be treated conservatively, while patients with larger amount of bleeding need to be treated surgically. In recent years, our hospital cerebral surgery department has adopted minimally invasive hard channel puncture technique to treat hundreds of cases of hypertensive cerebral hemorrhage, all of which have achieved very satisfactory clinical results. The surgery can be performed at the bedside. The operation time is significantly shortened, generally 15-30 minutes to complete, compared with at least 2-3 hours for conventional craniotomy. The indications for surgery are significantly expanded. Patients of advanced age and patients with cardiopulmonary insufficiency can be operated under local anesthesia, allowing many patients who cannot tolerate craniotomy to be rescued; fewer postoperative complications and faster recovery. However, minimally invasive surgery is not absolute, and the specific surgical method to be adopted depends on the patient’s specific situation. (Our department is a collaborative unit designated by the Ministry of Health for minimally invasive intracerebral hematoma removal).