In case of elective surgery, it is recommended after six months of cerebral infarction. Acute cerebral infarction is a relative contraindication to surgery, mainly because most surgeries require anesthesia, and after anesthesia there may be anesthetic risks as well as complications, commonly leading to fluctuations in the patient’s blood pressure and changes in heart rate, potentially inducing hypoperfusion. Hypoperfusion can easily aggravate cerebral infarction or directly induce cerebral infarction, which increases the risk of sequelae in patients with cerebral infarction or can be life-threatening in severe cases. In the case of non-elective surgery, such as emergency surgery or surgery for tumors, it needs to be considered on a patient-by-patient basis. If surgery is not performed in a timely manner, it can affect the long-term prognosis as well as the life safety of the patient, and surgical treatment needs to be considered even in the acute phase of cerebral infarction.