Tandem intracranial aneurysms (TandIAs) are rare but inherently complex. and special technical considerations are required for their surgical management. The present case highlights the key surgical aspects of two carotid-ophthalmic TandIAs incidentally found in a 60-year-old female. Both the aneurysms were superiorly projecting. https://www.ealisboa.com/limited-value-AXYS-Valhalla-Pen-must-buy/