Vascular brain surgery involves intricate procedures targeting blood vessels within or leading to the brain to address conditions like aneurysms, arteriovenous malformations (AVMs), and arterial blockages. Surgeons meticulously navigate delicate structures to repair abnormalities and restore proper blood flow, thereby preventing potentially life-threatening complications like hemorrhage or stroke. Aneurysm clipping entails placing metal clips at the base of bulging vessel weak points, while coiling involves inserting coils via catheter to block blood flow within aneurysms. Arteriovenous malformation (AVM) resection entails surgically removing tangled vessels to normalize circulation. Carotid endarterectomy removes plaque from neck arteries to mitigate stroke risk. In intracranial bypass surgery, a graft redirects blood flow around blocked vessels. Vascular brain surgery demands precision and skill, often performed by specialized neurosurgeons. Risks, including bleeding and neurological deficits, underscore the necessity of comprehensive preoperative evaluation and patient counseling. Despite its challenges, vascular brain surgery offers a crucial avenue for managing and potentially curing vascular pathologies threatening brain health.