Migraines are a common condition that many children suffer from at a young age, but are often ignored by their parents because they are not well expressed. Children usually have migraine headaches, but they may also have bilateral headaches, and the nature of the pain is swelling or throbbing. Since there are many causes of migraine, when migraine occurs in children, we must first rule out secondary factors such as central nervous system infections, such as viral encephalitis, viral meningoencephalitis, and some parasitic infections. After eliminating secondary factors, the treatment plan for primary migraine can be based on the actual situation. The former is usually applied to patients with acute attacks, while the latter aims to reduce the frequency and degree of attacks. The specific medication should be determined according to the severity of the headache, accompanying symptoms, previous medication and the individual situation of the child. Medication can relieve mild symptoms and prevent recurrence. However, there are some children diagnosed with intractable migraine due to the compression of nerves by blood vessels in clinical practice. For these types of migraines, families may consider surgical treatment for their children. Megohighlight microvascular decompression has been recognized and praised by patients and their families for its excellent results in treating migraines. Chronic migraines in children can seriously affect the quality of life of the child. Frequent headache, tossing and turning at night, unable to sleep, weakness and poor mental health the next day. In addition, recurring headaches can easily lead to anxiety and depression, which can affect the child’s normal social life and lower grades. Children are the continuation of human bloodline and the hope of parents, so parents need to consider carefully when choosing treatment for their children, and it is recommended to go to a regular hospital to clarify the cause and take targeted treatment measures.