For elderly patients with trigeminal neuralgia who are older than 65 years old, patients often have more concerns about whether they can tolerate the surgery and anesthesia due to their advanced age. The results of these patients showed that as long as the patients did not have some serious diseases, such as heart failure, respiratory insufficiency, etc., and were still in good health, they could tolerate the surgery, and the surgical results were not significantly different from those of the younger group, and no complications occurred because of their advanced age. The pain was relieved immediately after the operation, and the facial sensation was normal, without symptoms such as numbness. Some patients have had the disease for as long as 20 to 30 years and have taken other treatments, including drugs, acupuncture, nerve closure and other treatments, because they were worried about the risk of surgery, but the results were not satisfactory, and they have been living in pain for decades; eating, talking, washing the face, etc. can induce pain and pain, and some patients have adopted methods such as closure and radiofrequency, but they are prone to recurrence after surgery, and the attacks occur in a few months to a year, and facial Numbness and other symptoms; symptoms disappear after microvascular decompression, and it is not easy to recur, our patients who had surgery ten years ago are still well, pain and pain did not recur.