Facial myospasm is an idiopathic disease with no genetic relationship, mainly due to arteriosclerosis and neuropathy of blood vessels, resulting in short-circuiting of nerves in the area of the brain stem, causing paroxysmal involuntary jumping of the unilateral eyelid and facial expression muscles, with more clinical incidence in the female population. In severe cases, the facial muscle spasm can be twitching all day long and cannot open the eyes, even during sleep. Some patients with facial myospasm may have trigeminal neuralgia, and some patients may also have tinnitus, vertigo, and hearing loss on the affected side. It seriously affects daily life and even presents with mild facial paralysis. Because the disease is a chronic process, it is not self-healing and will have this symptom for life. If it is not treated effectively in time, it will have a great impact on patients’ life, work, spirit and psychology. Although the treatment of facial spasm is very mature, not many patients can really get timely and reasonable treatment. If facial muscle spasm is not treated in time or improperly treated, it is likely to cause facial nerve paralysis and even disfigurement. The reason why facial spasm is not cured is because of untimely treatment or improper treatment, and the common misconceptions are as follows. The first misconception is that there is not enough awareness of the disease itself. Many patients still do not know that they are suffering from facial spasm even at the advanced stage of the disease, and they do not know that facial spasm can be cured. In fact, according to the typical symptoms of facial muscle spasm patients can judge for themselves. The paroxysmal involuntary twitching that starts with one eyelid, with time extended can be extended to other facial muscles of the same side, accompanied by the corner of the mouth muscle twitching is the most common, twitching repeatedly, they can not control, generally in the heart of the person anxious, when seeing a stranger is easy to occur, generally unilateral, bilateral simultaneous onset is rare. The second misconception, blind treatment, misbelief in the secret words of the prescription Many patients in order to treat facial muscle spasm, on the Internet or listen to others say a lot of prescriptions, to body test, not only wasted a lot of time and costs, but also lost the best time for treatment, and even left sequelae, resulting in physical and psychological dual pain. The majority of facial muscle spasms are due to the compression of nerves by blood vessels, and need to isolate the responsible blood vessels from the nerves in order to cure, so the general drugs and other treatment methods are unable to achieve the purpose of the root cause. The first is that the person who is in charge of the treatment of facial muscle spasms is the one who is in charge of the treatment of facial muscle spasms. B. Botulinum toxin type A injection: 90% of patients are effective in the first injection, but as the disease lengthens, the injection interval becomes shorter and shorter, and the efficacy of repeated injections gradually decreases. Patients with repeated botulinum toxin injections may develop facial paralysis of varying degrees. Therefore, botulinum toxin injection is not possible as a long-term treatment for facial muscle spasm. C. Microvascular decompression surgery (MVD): It is the only treatment method that targets the cause of the disease and is minimally invasive. The surgical efficiency and relatively small surgical risk make MVD rapidly replace other treatment methods, which can not only cure facial muscle spasm but also preserve the normal function of facial nerve, so microvascular decompression surgery has become the preferred treatment option at present. Early detection and treatment of facial muscle spasm and microvascular decompression have a good prognosis and have relieved many patients of their pain and returned to normal life. The more you seek treatment, the more serious it becomes.