Because of the clinical features, hard nuclear cataract surgery has great difficulty and increased postoperative complications(POC), which troubled clinical doctors all the time. In recent years, with the ophthalmic surgical instruments and equipments continues to be improved, also as surgical technique, the cure rate of cataract has obviously been improved. However, the operation mode selection for hard nuclear cataract has been the focus and difficulty for ophthalmologists. This review makes a summary of the recent clinical research progress on the treatment for hard nuclear cataract to analysis the advantages and disadvantages of various surgeries.