Aim of work: We conducted a case study to evaluate the surgical management of lobar intracerebral hemorrhage. Patients and Methods: This study included 20 patients who were diagnosed with Lobar ICH between January 2017 and December 2017, All cases were managed surgically. ICH is a neurological emergency and medical care should starts rapidly with stabilization of airway, breathing functions, circulation and other associated pathologies as fits and elevated blood pressure. CT scan was the standard diagnostic tool in the 1ry management of the cases. A routine preoperative investigation as CBC, PT was done. Cases admitted to a postoperative ICU for at least 48 hours and a follow up CT scan was done. Results: We observed all survivors for at least 2 months and asses our outcome using Glasgow Outcome Scale. Conclusion: Care of such cases and rehabilitation plays an important role to have a good prognosis.