Cerebrovascular disease has become a dangerous disease that threatens human health, and it mostly occurs in middle-aged and elderly people. Carotid artery stenosis is a typical type of cerebrovascular disease, which affects the blood supply to the human brain and can easily induce a stroke without timely treatment and control, which is very scary. Therefore, once suffering from carotid stenosis, it is important to go to a regular hospital to receive treatment as soon as possible. Although carotid stenosis is not an incurable disease, it can be a direct threat to life if not treated in a timely manner or treated improperly. The treatment of carotid stenosis is graded, carotid stenosis below 50% is mild stenosis, at this time only need conservative treatment, follow the medical advice of reasonable use of drugs, and review on time, the condition can be well controlled; if the carotid stenosis is greater than 70% belongs to severe stenosis, patients with severe stenosis should receive surgery depending on the situation, the prognosis will be better. Currently, there are two surgical methods to treat carotid stenosis, namely carotid stenting and carotid endarterectomy, but it has been clinically proven that stenting has many problems and is only an alternative treatment option for those patients who are not suitable for stripping surgery. Therefore, carotid endarterectomy is now the preferred option. Is carotid endarterectomy minimally invasive? Carotid endarterectomy is not a minimally invasive procedure, but patients do not need to worry as the procedure is performed under a microscope to ensure the safety of the procedure. Moreover, the incision is only 6-8 cm and the operation time is short, and the patient can resume normal life in 1-2 days after the operation. In other words, carotid endarterectomy is already a very mature technique with high safety, and patients can receive treatment with peace of mind.