1 Introduction 2 The Evolution of Surgery the Soul of Neurosurgery 3 Inside the Pathology 4 Exogenous Factors Affecting Meningiomas 5 Instrumentation (Micro, Endo, IGS, MRI Application) 6 Intraoperative Neurophysiologic Monitoring during Surgery 7 Role of Stereotactic Radiosurgery 8 Sphenoid Wing Meningiomas 9 Clival Meningiomas 10 Petroclival Meningiomas 11 Olfactory Groove Meningiomas 12 Middle Fossa Floor Meningiomas 13 Cerebellopontine Angle Meningiomas 14 Foramen Magnum Meningioma 15 Tuberculum Sellae/Planum Meningiomas 16 Cavernous Sinus Meningiomas 17 Reconstruction of the Skull Base 18 Management of Recurrent Skull Base Meningiomas 19 Natural History and Adjunctive Modalities of Treatment 20 Complications in the Management of Skull Base Meningioma