**5. Conclusion**

In summary, it should be noted that the surgical approach is an important stage of the entire intervention, which can determine the outcomes of patients. Today, highly informative neuroimaging, coupled with modern neurosurgical microscopes, endoscopy and microinstrumentation, substantiate a completely different approach to the surgical treatment of cerebral aneurysms, an approach that is based on individual anatomy: facial, bone, and vascular. An approach that provides a choice between a traditional approach, a minimally invasive approach, or the use of the endovascular intervention. The main task of a neurosurgeon is the correct choice of treatment method depending on the individual neuroimaging pattern and the patient's condition. The main goal of individualization is to create the shortest efficient route to the target with minimal collateral damage, ensuring the safety of the intervention. Sufficient experience in microsurgical aneurysm clipping and proper selection of patients allows us to use different minimally invasive approaches safely and effectively.
