Objective To explore the choice of ventriculoperitoneal(V-P) shunt valve in order to enhance curative effect of V-Ps hunt on hydrocephalus.Methods The clinical data of 52 patients with hydrocephalus,who underwent V-P shunt were analyzedr etrospectively,including the curative effect,complication and methods to treat them.Of 52 patients,4 underwent V-P shunt with highp ressure valves,25 with middle pressure valves,19 with low pressure valves and 4 with adjustable valves.Results The clinicals ymptoms were improved in 33 patients(63.5%,33/52) within 1 week after the shunt.The clinical symptoms was improved in 41 patients(78.8%,41/52) on the discharge from hospital.Of 43 patients fallowed up from 3~30 months,33 were improved in hydrocephluss ymptoms,3 unchanged and 7 deteriorated.Conclusions V-P shunt is still first selected method to treat hydrocephalus.The ideal shuntp ressure should be individually selected in order to achieve optimal therapeutic effect when the patients with hydrocephalus are treatedb y V-P shunt.That what is the ideal shunt device suitable for the intracranial pressure in the patients with hydrocephalus should bef urther studied.