The authors analyze their personal series of 90 patients with cerebral arteriovenous malformations (AVMs) concerning the place of radiosurgery (RS). Out of the 90 patients, 34 undervent Linac RS-RS was used as single treatment (17%) or in combination with embolization or surgery (21%.) Eradication rate assessed angiographically after 2 years was 89%. Regarding this personal series and the recent literature, several questions remain: should small superficial AVMs revealed by hemorrhage be irradiated or operated on and the role of embolization as a reductive method before RS in order to reduce the complications and improve the obliteration rates.