Migraine is a common chronic neurovascular disorder that is characterized by throbbing pain or dull pain in one or both sides of the head and face, usually around the auriculotemporal temples, around the orbits and in the posterior occipital region. Migraines can be mild or severe, and many patients with intractable migraines tend to be very severe, with severe pain and frequent attacks, often accompanied by fear of light and noise, nausea and vomiting. For migraine, medication is the first choice, but for common migraine, medication can provide good relief, but for intractable migraine, taking medication is often ineffective, and the side effects of long-term medication are so great that it causes serious drug resistance and also leads to damage to liver and kidney functions. Minimally invasive surgical treatment can be considered for intractable migraine. After years of research, the medical community has found that migraine is mainly due to the pressure of the blood vessels on the scalp on the relevant nerves and the release of pain-causing transmitters under certain conditions to stimulate the nerves, thus producing pain. Based on this principle, microvascular decompression surgery is carried out to find the vascular nerve compression points on the scalp under a microscope, and to push away the responsible blood vessels that are compressing the nerves to prevent the adhesion membrane from wrapping the nerves for isolation and protection, so that the compression is released and the pain will no longer occur. Relieving neurovascular compression is the key to treating migraine, so how effective is the treatment of migraine through surgery? In recent years, microvascular decompression is a very safe minimally invasive subcutaneous surgery for migraine. The surgery finds the pain point under the nerve block test, locates the focal tissue, and makes a skin incision of 2-5 cm in the auriculotemporal, posterior occipital, and orbital areas (subcutaneous surgery, no cranial opening), which mainly targets migraine headaches caused by nerve compression by blood vessels, and can directly reach the focal area and improve the source of the disease with excellent results. At present, this surgery has helped thousands of patients with intractable migraine to get rid of the pain and see the light of life again.