For years, surgeons have been developing surgi-cal approaches attempting to achieve maximal surgical exposure with minimal brain retraction, advantages found within the frontotemporal or pterional approach, first described by Yasargil, four decades ago . Compared to its prede-cessors, this approach allowed for wider fronto-basal exposure, secondary to more significant drilling away sphenoid wing; in addition to that surgeon could dissect and split Sylvian fissure wider. Consequently, it was applicable for clipping of both basilar tip and anterior circula-tion aneurysms, with an excellent safety-efficacy profile [1]. Later on, the approach will be modi-fied and combined with others, and its indications are only growing in number.