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To evaluate the surgical outcome, the perioeperative complications and technical challenges of the endoscopic endonasal approach for excision of the tuberculum sellae and planum sphenoidale meningiomas. A prospective randomized clinical study which is conducted on 20 patients with suprasellar meningiomas starting from June 2021till Marsh 2023. All patients are evaluated clinically and radiographically preoperatively. Intraoperaive technical challenges are documented. Postoperaive evaluation included radiological assessment to evaluate the extend of resection, postoperative hospitalization, operation time, blood loss, and intraoperative complications. This study included 6 males and 14 females. The mean ago was 47.9 years old. Visual affection was the most common preoperative manifestation (100%% of patients for visual acuity and 80% for visual field). Maximal tumor diameter for was 5.2 cm. Gross total resection was achievable in 90% of cases. Post-operative assessment of the visual field and acuity revealed 70% with pre-operative visual affection showed post-operative improvement. Complications included hyposmia, prolonged crusting, CSF leak, and 1 mortality case. The post-operative CSF leak rate was15% which was the most serious complication. The tuberculum sellae and planum sphenoidale meningiomas are resectable via the endoscopic endonasal approach with several advantages such as early devascularization, radical tumor excision by removing the involved bone and excision of the adjacent dura, central debulking which facilitates dissection of the vital neurovascular structures. CSF leakage is a fatal …