Auditory neuroma is a common benign tumor that accounts for 8-10% of intracranial tumors, with a population incidence of approximately 1 per 100,000. more than 95% of auditory neuromas are unilateral, and the remaining bilateral tumors are most often type II neurofibromatosis, which is an autosomal dominant disorder. The main symptoms of acoustic neuroma are: hearing loss (95%), tinnitus (70%) and ataxia (65%). The growth rate of the auditory neuroma is unpredictable, and in 6% of patients the tumor shrinks without any treatment. However, some tumors can grow up to 2 cm/year, with a typical growth rate of 1 to 2 mm/year. The clinical manifestations of acoustic neuroma are very characteristic and therefore were reported very early in the development of medicine. 1776 Sandifort was the first to report acoustic neuroma, but he did not recognize that the tumor originated in the auditory nerve, he only reported that the tumor was located in the crypt fossa of the brain tissue and resulted in the clinical symptoms described above. But it was not until the early 1900s that Monakow performed the first surgery for an auditory neuroma. The classic surgical technique at that time was to pick out the tumor with the fingers.Monakow reported eight patients and five deaths. With the development of neurosurgical instruments and lighting, as well as advances in microsurgical techniques, surgery is now performed not only to completely remove the tumor, but also to preserve the facial nerve (90%) and hearing (50%) without new neurological deficits. The next step in the development focuses on how to rebuild nerve function and restore the neurologic dysfunction that has already occurred. Both surgical and gamma knife treatments for acoustic neuromas can yield good results. A period of observation is sometimes a good option if there are concerns about treatment. What is clearer, however, is that the size and location of the tumor, its texture (hard or soft) and blood flow (rich or not) are influential factors in determining the prognosis of surgery.