This book outlines the basic principles of microsurgical treatment of cerebellopontine angle lesions. The pathophysiological bases and elements that allow clinical and imaging diagnosis of the different types of lesions are described in order to know the natural history of the disease and determine how different forms of treatment can change it. Microsurgical treatment is the best alternative when the expected benefits and possible risks are better than the natural history of the disease or alternative treatments, when they exist. The approaches and microsurgical techniques described are based on the personal experience of the authors at institution and are described in an orderly, systematic, and detailed manner, with the same level of detail in all chapters, including illustrative cases and abundant anatomical, diagnostic, and operative images. The lesion types are classified into subtypes according to their particularities related to microsurgical treatment. The main alternative treatments for cerebellopontine angle lesions are radiosurgery and endoscopic surgery.