The indication for surgery for anaplastic pituitary adenomas is usually based on the presence of optic cross and optic nerve compression. Anaplastic pituitary adenomas are often large when the diagnosis is made, and more than 90% of them are macroadenomas. Patients often present with significant visual field impairment, and therefore the indication for surgery is often the presence of optic cross and optic nerve compression. There are two surgical approaches to pituitary adenomas, a craniotomy to remove the tumor, which is now less commonly used and is only considered if the tumor is more than 3 cm in diameter. The more commonly used surgical procedure is transnasal pterygoid sinus pituitary microadenomectomy, which is less invasive and has a faster recovery. Suffering from non-functional pituitary adenoma, it is recommended to go to a regular hospital, under the guidance of a professional doctor for treatment, the specific treatment plan is recommended to follow the doctor’s advice.