Surgery is definitely better than minimally invasive. However, most people do not understand minimally invasive properly, but only minimally invasive as a small incision. The reality is that craniotomy is a necessary part of almost all neurosurgery. The lesion is inside the skull, how can we remove it without opening the skull? Opening the skull is craniotomy! Minimally invasive and craniotomy are not opposites. Almost all neurosurgery is craniotomy. The most important thing in surgery is how to reduce the impact on important structures, brain tissue, nerves and blood vessels are the most important structures, scalp and skull are second in importance. If the surgery requires, the incision and bone flap can be made larger, and it is important not to deliberately pursue a small incision and bone window, which will affect the exposure of the lesion. If the exposure is not good, the final surgical result will not be good. Of course, if you can achieve both small incision and small bone window, and the treatment effect is good, then it is undoubtedly the best. Again, small incisions should not be interpreted as minimally invasive, and good scalp suturing should not be interpreted as good surgery.