The article describes in detail the historical aspects of such a serious disease as trigeminal neuralgia, the dynamic development of methods and techniques of conservative and surgical treatment. In connection with the development of medicine and the emergence of modern diagnostic methods, an analysis and importance for determining the severity of trigeminal neuralgia are given. The advantages of methods for treating trigeminal neuralgia, the validity of a differentiated approach taking into account the severity of the disease is given. Studies of the quality of life of patients using questionnaires, based on the analysis of the data obtained, the choice of a method for treating trigeminal neuralgia and improving the results.