Minimally invasive surgery was used in the treatment of hypertensive cerebral hemorrhage in 238 cases. The aim was to evaluate the degree of rehabilitation and quality of life as indicators, with the goal of improving long-term effects. Starting from this point, a reasonable choice of operation time can avoid rebleeding, reduce complications, and improve survival value. We advocate adopting an individualized principle, taking into consideration factors such as the location of bleeding, the volume of bleeding, comorbidities, complications, the process of hematoma formation, and influences that may lead to rebleeding, to reasonably choose the operation candidates, the surgical approach, and the timing of the operation, thereby achieving good results.