In this study we have discussed the outcome following surgical clipping ofvarious anterior circulation aneurysms. We have elaborated the major complicationssecondary to the subarachnoid hemorrhage, the result of rupture of the aneurysms.The final conclusions for this study are; surgical clipping still has the upper handas regards the sure, permanent and complete occlusion of the aneurysm. It gives theadvantage of approaching other criteria that might affect the outcome, such as laminaterminalis fenestration n order to decrease the incidence of chronic hydrocephalus or theneed for ventriculoperitoneal shunt in cases who already presented with hydrocephalus.It also gives the advantage of clearing some of the subarachnoid blood that in certainstudies proved to decrease the risk of vasospasm. In older patients or in patients in poorclinical conditions with associated co-morbidities, endovascular management appears tobe superior. The management of the serious vasospasm appears to be the standard use ofthe calcium channel blocker, nimodipine, once the diagnosis of subarachnoidhemorrhage was done.