Cerebellopontine angle tumors make up almost tenth of all intracranial tumors. Because of the specific clinical presentation and treatment plan, many authors sort these tumors in the same group in neurosurgery. In up to 85% of the cases all diagnosed cerebellopontine angle tumors are vestibular schwannoma. Cerebellopontine angle lesions represent special challenge in diferential diagnosis and surgical treatment because of their specific anatomical position and extremely diverse etiology. Despite their complexity and in accordance with new clinical research their recognition, follow up and treatment of progression of lesions of cerebellopontine angle is expected in modern neurosurgery. Neurosurgeon can choose to observe, surgically treat the lesion with microsurgical techniques or with methods of stereotactic neurosurgery. For open surgery neurosurgeon can choose several different approaches to cerebellopontine angle, and that choice depends on anatomical variations and size of the tumor. It is important to conserve function of the cranial nerves which pass through cerebellopontine angle, because their lesions can significantly impair quality of life of the patient. In the end, treatment leads to low morbidity and negligible mortality in patients.