Abstract: Objective To discuss the surgical skills of the sphenoid meningiomas.Method The anatomy,the blood supply of sphenoid region and the surgical skills were studied.35 cases with the sphenoid meningiomas who underwent mierosurgery were analyzed retmspoctively.Results (1)The pterional approach provides an optimal exposure to the anterior sellar region.The frontotemporal-zygomatic approach provides a favorable exposure to the middle fossa and parasellar region.The frontotemporal orbitozygomatic route provides a wide angle of exposure to the contents of the inferior frontal lobe,parasellar region,cavernous sinus,interpeduncular cisterns,and floor of the anterior and middle fossa.(2)There are 3 types of the blood supply of the sphenoid meningiomas:supply by the external carotid artery,supply by the external carotid anery and the internal carotid artery,and supply by the internal carotid artery.(3)The tumors were totally removed in 29 cases,and the others were subtotally removed,with 2 cases of death.Conclusions With extensive understanding of the neuroanatomy,progression of the interventional therapy and the surgical techniques,the sphenoid meningiomas can be radically and safely resected with less morbidity and mortality.