【Abstract】 Avascular necrosis of the femoral head is a progressive disease and late morbidity is very high，which badly influence peoples life quality. If early get proper treatment, femoral head will avoid collapse and delay the hip replacement time. Early avascular necrosis of the femoral head of treatment includes surgical and nonsurgical therapy. Nonsurgical treatment including drugs or physical methods. However, there is still no precise and effective method. Surgical treatments include core decompression, stem cells or bone graft. Combination therapy based on the core decompression is still a hot research topic present. The article narrated and commented the methods of early treatment of femoral head necrosis and provided a reference for clinical and scientific research.