Contraindications to surgery for pituitary Rathke cysts: The first one is the patient’s cardiopulmonary function, which is not able to tolerate general anesthesia. Because the surgical removal of pituitary rathke cysts requires general anesthesia, it is impossible to take local anesthesia, and if the patient’s cardiopulmonary function is relatively poor and cannot tolerate general anesthesia, surgical treatment is not possible at this time, and often this is most common in patients of advanced age. The second is the presence of blood system diseases, such as particularly prone to bleeding, such as this case, because in the process of surgery there will inevitably be a certain amount of bleeding, if the bleeding tendency is too serious, may also cause the performance of haemorrhage, so that the patient’s own is a negative impact. The third is the presence of acute infection in the patient, such as the formation of an abscess in the nasal cavity, or some other parts of the infection, which is not significantly controlled, and this time is also likely to cause infection of the pituitary gland, or even reach the cranium, forming intracranial infection, which is also not a very good clinical phenomenon for the patient. Therefore, it is important to clarify the various situations at that time, and strive to achieve a relatively perfect situation, and then carry out surgical treatment, which is more beneficial to patients.