Abstract: Objective:To characterize the microsurgical treatment of spinal cord congenital tumors and explore the experiences of pa -tients who have undergone the treatment. Methods:The clinical data of 50patients with spinal cord congenital tumors (from August 2010to August 2015) were analyzed retrospectively. The characteristics of different types of tumor and surgical techniques were dis -cussed.Results:The age of patients with spinal cord congenital tumors is relatively young. Most tumors are located in the lumbar and sacral regions. In the 50cases, total tumor removal was achieved in 11cases, subtotal in 9, partial in 29, and cyst fistulation in 1. We also found 10cases of epidermoid cyst, 8 cases of dermoid cyst, 13cases of mature teratoma, 9 cases of lipoma ( 2 of angiolipoma), 4 cases of intestinal cyst, 3 cases of arachnoid cyst, 1 case of glial ependymal cyst, 1 case of hamartoma, and 1 case without pathological diagnosis. The postoperative complications included 1 case of meningitis and 1 case of incision infection. Of the 50cases, 39have been followed up from 3 months to2 years. Recurrence was observed in 3 cases. Conclusion: Spinal cord congenital tumors could be revealed and removed satisfactorily with fewer surgical complications through microsurgical treatment.