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Outcomes We identified seven pragmatic technical tips regarding craniotomy, cisternostomy, gyrus rectus corticectomy, proximal control, perforators and Heubner preservation, aneurysm neck dissection, and cutting to use in a didactic algorithm for training residents so that as operative instructions for inexperienced neurosurgeons. Conclusion In the setting of clipping AComA aneurysms, value for surgical rules is of paramount value to do an