Vestibular schwannomas is a common kind of benign tumor of the skull base. Its common clinical symptoms include unilateral sensorineural hearing loss, and so on. The treatment strategies for this tumor are regular followup and observation, surgery and stereotactic radiation therapy. Surgical treatment is the predominant modality, and retrosigmoid (suboccipital), translabyrinthian as well as middle fossa approaches are commonly adopted. Certainly, each type of treatment methods or surgical approaches has advantages and disadvantages as well as scopes of application. Therefore, it is necessary to select appropriate treatment method for different patients.