OBJECTIVE: To study the diagnosis and surgical treatment of skull base metastases. METHODS: Clinical and radiological features, operative technique and postoperative complications of 15 cases of skull base metastases were discussed. RESULTS: Total resection was achieved in 13 cases, and subtotal resection in 2. 7 tumors were located in the anterior skull base. The main complication was CSF leakage. CONCLUSION: The preoperative diagnosis of skull base metastases is difficult, radical resection is effective, and postoperative complications are not uncommon.