The indications for surgery for hypertensive cerebral hemorrhage mainly include neurological deterioration or cerebral hemorrhage with brainstem compression, lobar hemorrhage, high GCS score, and large hematoma. 1. Cerebellar hemorrhage with neurological deterioration or brainstem compression should be operated as soon as possible to remove the hematoma, regardless of whether there is ventricular obstruction leading to hydrocephalus. 2. For patients with lobar hemorrhage of more than 30 ml within 1 cm from the cortical surface, craniotomy or neuroendoscopic-assisted cerebral hemorrhage removal can be considered. 3. Patients with episodic hypertensive cerebral hemorrhage within 72 hours of onset, with hematoma volume of 20-40 ml and GCS score greater than or equal to 9. 4. Minimally invasive surgery can be considered for removing hematoma in patients with severe cerebral hemorrhage of more than 40 ml due to deterioration of consciousness disorder caused by the occupying effect of hematoma. Surgery mainly has the effect of removing hematoma, relieving intracranial hypertension and relieving mechanical compression. In case of hypertensive cerebral hemorrhage, it is recommended to visit the hospital in time and decide the specific treatment plan under the guidance of the doctor.