Two hundred and ten patients with hypertensive cerebral and cerebellar haemorrhage were surgically treated with four patterns. The preoperative status graded as I-V stages was improved among 151 cases, and 59 cases (28.0%) died. The authors concluded that individualized selection of available surgical pattern combined with CT findigs according to neurologic grading will lower the operative mortality. Factors affecting the prognosis, such as location of haemorrhage, the volume of hematoma, haemorrhage rupture into the ventricles, and the timing of surgery were analysed. Postoperative rebleeding, intracranial pneumatosis, multiple organ failure and curative means are discussed.