Objective To retrospectively analyze the effectiveness of different surgical methods in treatment of carotid stenoses and occlusion. Methods From Mar. 2002 to Mar. 2011, a total of 82 patients (87 sides) with carotid stenosis or occlusion received different treatments. Seventy-six of them received endarterectomy, including the traditional cut and sew in 6 sides (3 patching), eversion endarterectomy in 70 sides (including 2 cases receiving double-side endarterectomy). Stenting was performed on 4 sides, and bypass operation was used in 7 cases. All the patients had severe symptomatic carotid artery stenosis and occlusion (70%-100%). Results There was no stroke or death during or after the procedure. Subcutanous hematoma occurred in 4 cases, and 12 cases had the tongue inclining to the lesion side. Conclusion Individualized surgical intervention can achieve satisfactory effect in patients with symptomatic carotid artery stenosis and occlusion.