Objective To study impact of the different treatment modalities on patient survival and quality of life of patients with spontaneous cerebral hemorrhage.Methods Total of 320 cases of SICH patients were reviewed, and divided into GCS≤8, GCS9-12 and GCS≥13 three groups according to GCS score.For each group of different treatment modalities of patient survival and quality of life was assessed, and the data was analysized with Cox regression.P≤0.05 for statistical significance.Results The quality of life and survival duration in group GCS≤8 were significantly worse than that in the other two groups.As well different treatment modalities would lead to the differences in the quality of life and survival duration in the same group.Survival quality improved obviously (good prognosis rate achieved 53%, 72% and 79% respectively) in the patients underwent stereotactic hematoma aspiration, compared to the other groups (P≤0.05).Whereas the survival rate improved obviously(Survival period over 18 months at groups GCS≤8 and GCS9-12 reached 41% and 55% respectively) in the patients underwent craniotomy operation.(P≤0.05).Conclusions It may further improve the patients survival and quality of life of SICH when treated with appropriate and timely surgical intervention.