Abstract: Microsurgical technique is essential for neurosurgeons, which demands good hand-eye coordination and fine motor skills. It is therefore necessary to provide systematic microsurgical training for young doctors with limited clinical experience. However, there is currently a lack of unified training programs in China. Based on clinical needs, the Neurosurgery Department of Peking Union Medical College Hospital has developed an integrated, immersive, and high-intensity microsurgical training course that covers training closely related to clinical practice, such as the use of microsurgical instruments, suture of gauze holes, anastomosis of artificial blood vessels, anastomosis of middle cerebral artery, and the use of micro drills. Since March 2022, six training sessions have been completed with a total of 12 trainees, and all have passed the assessment. Four of them have been recognized as microsurgical main surgeons. Preliminary data shows that this training course has helped to improve the microsurgical skills of young neurosurgeons, providing a reference for future microsurgical training programs.