Aim: Novel Covid Disease 2019 (COVID-19) Pandemic poses a generous challenge to the power of the medical care faculty at the forefront of thought about COVID-19 patients. The Centers for Medicare and Medicaid Programs also announced that all unimportant, arranged medical treatments and processes can be postponed before further notice and only essential strategies proceed. Neurological surgical treatments and methods should not be postponed in conditions when it is necessary to maintain a normal life or to secure the operation of the focal sensory system. Methods: With the intention of encouraging the neurosurgery community to use the most competent approach to establish enough neurosurgery technique for confirmed and suspected COVID-19 patients, we discuss contemplations and proposals that draw on exercises and experience shared by neurosurgeons in Pakistan. Our current research was conducted at Services Hospital, Lahore from May 2019 to April 2020. Results: Perioperative and intraoperative methodologies, as well as contemplations, have been studied, much as complications have arisen in the explicit situation. An occurrence of a burst aneurysm in a speculated permanent with COVID-19 is also accounted for. It is advised that all well-being treatment professionals who immediately take an interest in neurosurgical medical techniques and methods for verified and suspected COVID-19 patients should take airborne protection precautions and wear updated individual protective hardware. Conclusions: Pressure neurosurgical medical techniques and methods can be efficiently performed in order to serve basic patients with or suspected of developing COVID-19. Keywords: Neurosurgical Guidelines, Pakistan, Covid-19, Corona Virus, Pandemic.