Objective To study the methods and operative skills of surgical puncture of lateral ventricles.Methods To establish a retrospective analysis of 16 cases which were operated through pterional approach using Paine point puncture of lateral ventricle, reported by Kunming Medical University from Jan. 2013 to Jun. 2015.Results Sixteen patients were punctured successfully and the brain retraction was achieved during the surgery, for the purpose of making space for the operation under microscope. It also contributes to ameliorate postoperative hydrocephalus and relieve the symptoms with drainage of CSF.Conclusions Paine puncture is simple to practice, and it plays a significant role in neurosurgical procedures through pterional approach.