Facial myoclonus is a common neurological condition, which is more common after middle age and more common in women than men. The twitching is paroxysmal and irregular, and the symptoms are aggravated by exertion and mental stress. The onset of the twitching mostly starts from the eyelid and gradually involves the whole facial muscles, and in severe cases, the corners of the mouth. At present, hospitals all over the world carry out treatment of facial myoclonus to varying degrees, but due to information and academic reasons, the level of hospitals varies and doctors have different concepts, coupled with the eagerness of patients to seek medical treatment, resulting in irregular and unsystematic treatment of facial myoclonus, and even some patients’ symptoms are getting heavier and heavier, and eventually the best time for surgery is missed. In many hospitals, acupuncture and botulinum toxin injections are used to treat facial myospasm. Because the disease itself is afraid of stimulation, sometimes acupuncture will aggravate the disease, and some people see results at the time, but later relapse will be powerful. For botulinum toxin injections to treat facial muscle spasm, in recent years in many hospitals is more prevalent, the main reasons are: a. The treatment method is simple, different from the surgical and surgical treatment. The treatment method is simple, different from surgery and anesthesia, the patient acceptance is high. Two. The short-term effect is obvious. However, the efficacy of botulinum toxin injection once is about one year, repeated injection will produce resistance, and repeated injection will cause facial paralysis, resulting in irreversible nerve damage. At present, the consensus view at home and abroad is to perform facial nerve microvascular decompression surgery, which can improve the quality of life of patients, and the surgical efficacy is definite, and it is the only treatment method that can achieve radical cure. With the improvement of preoperative examination and intraoperative monitoring, the treatment of facial spasm by this surgical method will become easier and safer.