Facial muscle spasm, also called facial muscle twitching, is due to intermittent involuntary twitching of the facial muscles innervated by nerves. The occurrence of facial muscle spasm often brings not only physical injury and image problems to patients, but also casts a shadow on their psyche, and facial muscle spasm often overwhelms patients. To better help patients, learn about the treatment of facial spasm — Microvascular Decompression. Through a true story for patients with facial spasm and their families. Xu appeared 9 months ago with no obvious trigger with right-sided eye fluttering, paroxysmal, involuntary jerking, uncontrollable, brief and rapid jerking, which lasted for several seconds and then stopped automatically. At the beginning, the seizures were infrequent, a few times a day. Later, the seizures became more frequent, twitching frequently, and gradually involved the right side of the corner of the mouth. Three months ago, he started to take oral carbamazepine, which he took when his symptoms flared up, but his symptoms did not improve significantly after taking the medicine. In order to seek further treatment, he came to our outpatient clinic today and was admitted with “facial spasm”. The general condition of the patient was acceptable. The involuntary slight twitching of the right corner of the eye and the right corner of the mouth could be seen, occurring simultaneously and in paroxysms. The corners of the mouth were slightly skewed on the left side, and the eyes were still closed. Surgical “microvascular decompression” was considered as a radical treatment, because facial spasm, if not treated thoroughly, would be accompanied by lifelong and slowly aggravated. After Xu was admitted to the hospital, he was actively prepared for the relevant examinations and preoperative procedures, and under general anesthesia, a right facial nerve microvascular decompression + lumbar pool placement was performed. Xu recovered well, and there was no obvious twitching in the corners of the eyes and mouth on the right side of Xu’s face after surgery. The incision healed well. Dr. Wang instructed that he could be discharged home to recuperate. Xu and his family were informed in detail of the precautions to be taken after discharge and were discharged. Xu had tried various methods of treatment during his illness, but the results were not particularly satisfactory. Finally, he was treated at the neurosurgery department of the hospital by Prof. Wang and his team after he underwent significant microvascular decompression, and had no adverse effects. Through Xu’s story, we can learn that facial spasm can be treated by microvascular decompression. It is not only minimally invasive, but also safe and reliable, does not harm any tissue of the facial nerve, protects the integrity of the face and the function of each nerve, and finally achieves the disappearance of facial twitching without other complications. It is currently the preferred modality for radical treatment of facial twitching in international general use.