Hydrocephalus is a disturbance of cerebrospinal fluid [CSF] formation, flow, or absorption, leading to an increase in volume occupied by this fluid in the central nervous system. It is either communicating or non-communicating. On assess ventricular catheter placement Possibly for anatomic landmark–guided free hand placement or endoscopic helped placement in regards to intraoperative parameters What's more postoperative Conclusion. This examine might have been a explanatory investigation led ahead [60] patients for hydrocephalus undergoing VP shunt were haphazardly ordered under 2 groups, [30] for free hand insertion and the other [30] with endoscopic guided insertion. Concerning illustration respect our study there might have been critical statistically Contrast [P esteem = 0. 010 ] in regards to Subgalial collection, spoiling What's more glitch the middle of two groups, there is no huge statistically Contrast viewing Vomiting, Fits, sd Hygroma , Fever, SDH What's more Pneumocephalous the middle of two aggregations. In spite of expositive expression proposes that new innovative developments including navigation, ultrasonography What's more endoscope enhance ventricular catheter position especially clinched alongside challenging cases, free-handed system customized as stated by those head and ventricular setup In view of pre-operative ct mind could provide for acceptable ventricular catheter position, particularly in the control about an encountered specialist.