Abstract: Since 1953, DeBakey completed the first case of carotid endarterectomy (CEA), CEA has gradually become the main treatment for extracranial carotid stenosis. Many clinical studies in the United States and Europe have confirmed that CEA had remarkable efficacy in prevention and treatment of ischemic stroke. After many years of development, now there are mainly two kinds of operation, CEA with patch and eversion CEA. The researches show that these two methods are superior to traditional CEA in security and effectiveness. This paper reviewed the research progresses of surgical treatment for carotid stenosis.