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Colloid cyst of the third ventricle is a rare congenital benign intracranial entity occurring in 0.5 – 3 % of primary brain tumors and 15 – 20 % of intraventricular ICSOLs. Symptoms include headache, memory loss, syncope, gait disturbances, lower limb weakness or urinary incontinence. Diagnosed incidentally or during MRI Brain for other reasons, can present with acute hydrocephalus, herniation and death. Various modalities exist forthe treatment including interhemispheric transcallosal approach, transcortical approach, endoscopic approach and stereotactic approach. All techniques have favorable and comparable outcomes. We present a case report and discussion about various open and endoscopic management options of the patients with colloid cysts.