Everyone has a face that is uniquely his or her own. Not only does it show your face, but it also allows you to freely express your happiness and sadness. This is the most natural thing. But there are people who can’t do this, which is a very distressing thing. Ms. Fang is an associate professor at the university, and her lectures are so lively and vivid that students say it is a pleasure to listen to her. Ms. Fang’s research work is also very good, often going abroad to participate in international academic exchanges. However, in the past two years, for some reason, she has been difficult to see on the podium of the university, and she has excused herself from many important international conferences. …… It turns out that Ms. Fang is ill. She felt that her face would twitch uncontrollably from time to time. Two years ago, Ms. Fang felt an involuntary twitching in one of her lower eyelids, which she thought was due to stress and strain at work, so she didn’t pay special attention to it. Later, the symptoms worsened and gradually developed into twitching of one side of the facial muscles, and later frequent episodes made her unable to control her expressions and disturbed her, sometimes even during sleep. After going to the hospital, she was mostly given some carbamazepine and Valium drugs, which had some effect at first, but then they didn’t work anymore. In order to cure the disease, Ms. Fang ran around the province’s major hospitals, did a variety of acupuncture, massage treatment, with little success. She was advised to have her face closed with botulinum toxin, but after the treatment, facial paralysis appeared. Three months later, the facial paralysis finally recovered, but the facial twitching symptoms remained. Although the disease was not life-threatening, it was enough to affect Ms. Fang’s career. She began to fear the podium and avoided attending meetings and social events. Whenever she was on the podium, the more nervous she was in front of people, the more her face twitched. Not only affects the quality of lectures, that squeeze eyebrows strange look also led to laughter on the stage, a good embarrassment. The doctor gave her a special brain magnetic resonance angiography (MRTA) examination and found that there was microvascular compression near the root of the facial nerve in her brain stem, so the doctor proposed a surgical treatment plan. Ms. Fang agreed to the surgery with the idea of giving it a try when she had no other choice. After three hours of careful surgery, a miracle happened. The involuntary facial twitching that had harassed her for two years disappeared completely, and the surgery was a complete success. Ms. Fang’s heart burst with joy. Now, Ms. Fang is back on the podium with renewed energy and is active in the front line of teaching and research. Due to the limitation of medical technology and the lack of proper understanding of the disease by doctors in primary hospitals, patients like Mr. Fang often do not receive the best treatment in time and turn to no one for medical treatment. Mr. Fang’s disease, medically known as “facial muscle spasm”, usually starts in middle age and is more common in women. According to the epidemiological survey, the prevalence of facial spasm in the population is 21/100,000. The onset of the disease is mainly involuntary paroxysmal twitching of the orbicularis oculi muscle (mostly the lower eyelid) on one side, and later the twitching gradually extends to one side of the facial expression muscle, with frequent episodes of facial deformation, crooked corners of the mouth and slitted eyes, which seriously affects the physical and mental health of patients. Through years of clinical research on facial myoclonus, it has been clarified that there are no more than two major categories of its etiology. The most common cause is due to microvascular compression of the facial nerve root. Due to the presence of anatomical variants and the hardening of intracranial blood vessels as we age, they compress the weakness of the myelin sheath at the root of the facial nerve, causing a “short circuit” in the transmission of nerve impulses and triggering facial myospasm. It is not surprising that the cause is intracranial, so it is difficult to achieve good results with various external local treatments. If the cause is not removed, how can we talk about the root cause? Another category of secondary causes such as intracranial tumors or vascular lesions that cause facial muscle spasm is about 1% to 2%, but once the diagnosis and treatment is delayed, it can lead to serious consequences. The name of the surgery the doctor performed on Mr. Fang was facial nerve microvascular decompression. This type of surgery is quite common in some foreign countries with advanced medicine, with an efficiency rate of about 90%, a recurrence rate of less than 10% at long-term follow-up, and few complications. Surgical treatment is highly effective and has been promoted by experts as the preferred method of treatment for facial spasm. Since there is no automatic tendency of remission after the onset of facial myospasm, conservative treatment is ineffective and surgery should be performed as soon as possible. If there are no serious chronic systemic diseases that can tolerate anesthesia, they are suitable for microvascular nerve decompression surgery. The procedure is performed by shaving the hair behind the ear, opening a bone window of about 3 cm in diameter, separating the vascular loops compressing the facial nerve root with a special instrument under a microscope, and then inserting a special spacer to isolate the vessels from the nerve. The stitches are usually removed one week after surgery and the patient can go home. Since the skin incision is hidden in the hairline at the back of the occipital area, the scar is not easily visible and does not affect the aesthetics. Several hospitals in China have been able to perform this procedure with good results. Shanghai Ruijin Hospital has accumulated rich experience of more than 1600 cases in microvascular decompression treatment of cranial nerve diseases, which is at the leading level in China. He has been invited to make presentations at the World Congress of Neurosurgery, the Asian Congress of Neurosurgery and the annual meetings of neurosurgery in the United States, Japan and China. He has been widely praised. Patients with facial muscle spasm should seek timely consultation with experienced specialists to find out the cause of the disease and do targeted treatment. I believe that modern medical technology can help you to relieve your troubles and return a comfortable face to you.