Objective: Intra-cerebral hemorrhage is one of the most powerful reasons leading to a high mortality rate in general, which may reach 50%. In this research, we learned about the consequences of intra-cerebral hemorrhage and the disabilities it can cause, as well as the results of surgical intervention, which is much better than any other management. Thus, the purpose of this research is to determine the effectiveness of surgical intervention of cerebral hemorrhage and its outcomes for the patients. Methods: In our medical system, the patient aged 21-80 years admitted to the neurosurgery department to be given the proper treatment of intra-cerebral hemorrhage from 1 March 2008 and 1 April 2013. Patients classified 2 groups Surgical group (n =28) and nonsurgical group (n=27). Certain criteria to be admitted like: Glasgow Coma Score Range from 9 to 14, volume of the hemorrhage ≥20 mL, and the start of treatment within twenty four hours. Results: With the analysis, the duration of staying in the hospital was different between two groups while the duration of staying in the intensive care unit showed no difference between them. Within the 100 days follow up, the rate of mortality was 15%, Included 4 of 28 in the surgical group and 57% include 16 of 27 in the nonsurgical group. The surgery gets benefit in decreasing the level of mortality and improving level of GCS during the period of follow up in univariate analysis. While in multivariate analysis, the mortality rate differed between two groups but GCS showed no obvious difference in the follow up. Conclusion: Although the long period of staying in hospital, the management of intra-cerebral hemorrhage by surgery give lower level of mortality.