The success rate for curing craniopharyngiomas in the elderly is typically 75 to 93 percent, usually related to the size of the tumor and the location of the growth, among other things. Currently, the main treatment for craniopharyngioma is surgical resection. For craniopharyngiomas that are small in size and not surrounded by tissue encapsulation, minimally invasive surgery can be chosen for removal. The prognosis is good and the success rate is high. However, if the size of craniopharyngioma is too large or the surrounding tissue structure is rich, it usually increases the difficulty of surgery. Surgery cannot completely remove the tumor and is prone to damage the surrounding tissues. The recurrence rate after surgery is high and the success rate of cure is low. After surgery for craniopharyngioma, elderly patients need to be observed for changes in consciousness, pupils and various vital signs. It is also necessary to observe urolithiasis and hormone secretion in the body, and actively replenish fluids, electrolytes and corresponding hormones when necessary. After diagnosis of craniopharyngioma, elderly patients should go to the hospital in time for early treatment to avoid delaying the condition and causing adverse consequences.