Cerebral revascularization is used to augment or replace cerebral blood flow in patients at risk of cerebral ischemia, such as moyamoya disease, occlusive cerebrovascular disease, skull base tumors, and complex aneurysms. The paper analyzes and summarizes the perioperative management strategies of cerebral revascularization from three aspects: anesthesia management, postoperative management, and prevention of complications. Intraoperative management focuses on maintaining stable cerebral blood flow and normal intracranial pressure, to optimize the balance between cerebral oxygen supply and demand. Postoperative management should strictly carry out hemodynamic monitoring and pain control to reduce postoperative complications. However, the perioperative management strategy of cerebral revascularization still needs further research and continuous exploration to improve the long⁃term quality of life of patients and provide more references for clinical practice.