Yaşargil has brought a paradigm shift to neurosurgery with the use of the microscope. Recent advances in radiosurgery and endoscopic surgery have challenged in microscopic surgery in the neurosurgical field. However, the more these challenges, the more experienced and technologies are being accumulated and developed. Through this, the accuracy of surgery is gradually improving. In addition, navigation systems have improved accuracy during surgery and indocyanine green (ICG) angiography has rendered the process easier. Furthermore, intraoperative computed tomography and magnetic resonance imaging have been used to provide safer and more accurate treatment for patients. Herein, our experience of surgery on a patient using the above-mentioned modalities with real-time ultrasound is reported.