Nowadays, neurosurgery has entered the minimally invasive era, and whether hypertensive cerebral hemorrhage can be cured after minimally invasive surgery is a wide range. If the hematoma volume is relatively small and the hematoma site is very good, cure can be achieved from a surgical perspective by minimally invasive approaches, such as simple small bone window to remove the hematoma, neuroendoscopic removal of the hematoma, stereotactic below removal of the hematoma, and simple puncture and drainage. If the bleeding volume is small or the bleeding site is not in an important functional area and other compensatory functions are good, this type of disease can be completely cured. Very few patients or certain types of patients with very heavy bleeding and poor preoperative condition may have residual sequelae through minimally invasive surgery. If the patient has brain herniation before surgery, there may be coma or hemiparesis or aphasia after surgery. Such diseases cannot be generalized, and there is a great correlation with the size of bleeding, how well the patient recovers, the age, the function of other organs, the presence or absence of active measures, and the later recovery. Aggressive minimally invasive treatment can achieve better results.