Treatment of multiple intracranial aneurysms is challenging. Neurologic status, aneurysm morphology, location, ruptured/unruptured status, availability of equipment, and patient preference are among the factors influencing the choice of treatment modality. The prevalence of intracranial aneurysms (IAs) may range between 5 and 8% , and up to 11%. We hereby report a case of 60 year old male patient multiple Intracranial Aneurysm treated with Hybrid Approach. We concluded that microsurgical and endovascular therapies should work as complementary, rather than competing techniques for managing complex aneurysms.