Surgery is usually possible for a 32 ml cerebral hemorrhage, but it is not possible to generalize, and it is also necessary to take into account the location of the cerebral hemorrhage as well as the patient’s basic condition to decide whether or not to perform surgery. If the patient has a cerebellar hemorrhage, and the patient has already suffered from impaired consciousness and compression of the brainstem and other important structures, and the patient’s own condition can tolerate surgery after evaluation, then surgery should be performed immediately. If the patient has cerebral hemispheric hemorrhage, 32 ml of hemorrhage can be considered for surgery. If the patient has developed consciousness disorder, central structural deviation, compression of ventricles and ring pool structures, surgery is required, taking into account whether the patient’s physical condition can tolerate anesthesia and surgical trauma. If the patient is an elderly patient, due to the accompanying cerebral atrophy intracranial space is usually larger, 32 ml of cerebral hemorrhage may not produce consciousness disorders, as well as central structural shift, ventricle, ring pool structure compression, at this time can be given to dehydration to reduce the cranial pressure, rehydration and other symptomatic conservative treatment. 32ml of cerebral hemorrhage should follow the doctor’s advice, active treatment, and strive for early recovery.