Intracranial haemorrhage (ICH) accounts for 10–20% of all stroke admission in hospitals, leads to severe mortality and morbidity.6 months mortality is 30–50%.Long term outcomes was very poor. Only 20% patients regain their functional independence in 6 months. The symptomatology mostly depends on location and volume of haematoma often compelling emergency admission. The major prognostic factor in ICH is admission GCS. In endoscopic procedure, one of the major advantages is reduced manipulation of viable brain tissue. Endoscopic procedure have short surgery duration and over all recovery time. Endoscopic evacuation is best procedure of choice in ICH management,but it need multidisipilinary approch and further evaluation .