Skull Base Surgery is a highly specialized field that focuses on the diagnosis and surgical management of tumors and abnormalities located at the base of the skull, where the brain interfaces with critical neurovascular structures. Conditions commonly treated include acoustic neuromas, pituitary tumors, meningiomas, chordomas, and cerebrospinal fluid (CSF) leaks. This field combines expertise from otolaryngology, neurosurgery, and radiology to provide comprehensive care. Techniques include open cranial approaches and minimally invasive endoscopic procedures, often performed through the nasal or ear canal to reduce recovery time and preserve neurological function. Advanced imaging, neuronavigation, and intraoperative monitoring are integral to surgical planning and precision. Skull base surgery aims to achieve maximal tumor resection while minimizing complications, protecting hearing, vision, and cranial nerve function, and improving long-term patient outcomes.