Migraine (vasoneurotic headache) is a common vascular headache with a high incidence. It is mainly caused by anatomical abnormalities of intracranial or extracranial blood vessels, distortion, dilatation, vasodilation and contraction dysfunction, decreased plasma 5-hydroxytryptamine level, increased prostaglandin level, reflexive and persistent contraction of head and neck muscles or pulling of vascular nerves, inflammatory stimulation, and compression of enlarged lymph nodes during the attack. There is no specific treatment for migraine, and oral ergots or aspirin are usually taken to reduce the symptoms. For migraine with no obvious effect of medication, our treatment experience is: treatment with microvascular decompression is effective. Selection of surgical cases: Patients with intractable migraine who have been taking oral ergot analgesic drugs for more than 4 years without obvious effect and with a tendency of gradual aggravation, with severe throbbing pain in the frontotemporal-occipital region. Treatment: For frontotemporal pain, local anesthesia is applied, and a section of the superficial temporal artery is removed above the ear screen along the superficial temporal artery and the corresponding nerve is released. The stitches are removed five days after surgery. For occipital pain, the patient is placed in prone or sitting position, local anesthesia is applied, the deep cervical fascia and the oblique tendon are incised, the main trunk of the occipital nerve and its branches are found under the superior collar line, and a section of the branch of the occipital nerve is stripped and ligated under the surgical microscope with the twisted and dilated vessels accompanying the main trunk, and the branches are dissected as appropriate, and the stitches are removed six days after surgery. Features: local anesthesia, minimally invasive, well tolerated, less painful; patient hospitalized for 1-2 days, stitches removed on an outpatient basis; significant results.