Many acoustic neuroma patients undergo surgery. Acoustic neuroma surgery is one of the most major of all surgeries. It's difficult to get more serious than open brain surgery that can last up to 24 hours in some cases. The risk of side effects is very real and is one reason that more and more people are turning to radiation therapy or radiosurgery. If one is to undergo surgery, it's very wise to research long and hard for the most competent surgeon who has the best track record.
     There are different approaches to acoustic neuroma surgery such as:

retrosigmoid surgery
suboccipital sugery
middle fossa surgery
tranlabyrinthine surgery
endoscopic surgery

     Each of these approaches has its advantages and disadvantages