Whether or not a 70-year-old man with a cerebral thrombus blockage can be operated on is related to the patient’s own condition and the severity of the disease. If the patient’s condition is poor, the risk of surgery is high; if the patient’s condition is good and the clinical assessment meets the indications of surgery, the patient can undergo surgical treatment. Common surgical procedures for cerebral thromboembolism include debulking surgery, intracranial vascular stenting, and percutaneous transluminal angioplasty. For elderly patients with cerebral thrombosis, if surgical treatment is to be carried out, it is necessary for clinicians to professionally assess the patient’s physical condition, whether he or she can tolerate the intensity of the surgery, and choose a reasonable surgical method that is less damaging to the patient and easier to recover according to the patient’s own condition. If the elderly patients are in poor condition, the risk of surgery is high; if they are in good condition and clinically assessed to meet the indications for surgery, they can undergo surgical treatment. Elderly patients with cerebral thrombus blockage must choose the surgical method carefully under the guidance of clinicians to avoid adverse consequences such as cerebral hemorrhage and respiratory failure.