Abstract： Objective Sphenoid ridge meningiomas (SRM)was treated microsurgically and the effec-tiveness was evaluated. Methods Fifteen patients with SRM who were treated microsurgically in our hospital were retrospectively reviewed. Results Total removal(Simpson groups Ⅰand Ⅱ)was done in 11 (73.33%)pa-tients and subtotal removal in 3(20.00%). The symptoms such as increased intracranial pressure were improved to some degree after operation. Twelve cases,were followed up from 6 months to 5 years. Tumor recurred in 3 ca-ses,and a second surgery was performed on 1 case. One patient died. Conclusion Appropriate surgical ap-proach and resection way should be decided according to the sites of tumors attached to the dura and the sur-rounding structures. Full understanding of microanatomy and experienced operating skill are the prerequisite of improving the successful tumor-removal and of decreasing complications.