Management strategies for petroclival menigiomas remain controversial.We share our experience in management of large and giant true petroclival meniongiomas with special emphasis on patient reported quality of life parameters.This is a single center study of 47 patients between 2008 and 2018. All patients were checked for tumor specific parameters, clinical parameters, extent of surgical excision, and outcome, as assessed by Karnofsky performance score (KPS), Glasgow outcome score, clinical status, and by SF-36 questionnaire.32/47 patients' data were assessed. Symptoms included headache (62.5%), involvement of 5In patients of large/giant petroclival meningiomas, NTE/STE with adjuvant GKRS provided better preservation of quality of life.