**Abstract**

There is a broad range of alternatives in terms of cerebral palsy treatment (intrathecal baclofen (ITB), selective dorsal rhizotomy (SDR), and deep brain stimulation (DBS)). In order to reduce dystonia and spasticity, ITB bump insertion, SDR, and DBS are the main neurosurgical treatment approaches. In ITB treatment, a baclofen pump is implanted in the abdomen and is connected to spine via a thin tube. The pump is refilled regularly. It may require a replacement surgery. SDR includes cut of sensory nerves in affected site. Globus pallidus is the target in DBS surgery, the main advantage of this technique is that, it is reversible and adjustable. In this chapter, neurosurgical treatment alternatives for cerebral palsy will be discussed.

**Keywords:** cerebral palsy, deep brain stimulation, dystonia, intrathecal baclofen pump, selective dorsal rhizotomy, spasticity
