Abstract: Objective: To observe the efficacy of micro-traumatic operation (MTO) on cerebral hemorrhage (CH).Methods: One hundrend and twenty cases of CH were divided into MTO group (n=60, treated with MTO) and medical group (n=60, treated with conservative treatment) separately and the results of the two groups were compared.Results: The total effective rate in the MTO group was 81.67%, which was higher than that in the medical group (45.00%) (P<0.005).The case fatality rate in the MTO group (11.67%) was lower than that in the medical group (40.00%) (P<0.005).The patient's activity of daily living and states of the two groups had obvious difference after six months' follow-up (P<0.05).Conclusions: The therapy of MTO is a simple, safe and economic method with small traumas.It can obviously improve the patient's prognosis and reduce the death rate of patients with CH.It is worth carrying out in primary hospitals.