The present invention provides a trigeminal neuralgia model based on MR images and a preparation method thereof. Through MR neuroimaging sequences, 3D high-resolution MRI scanning images of the trigeminal nerve, adjacent blood vessels, and brainstem are obtained, and the obtained original image data is imported into modeling The post-processing software performs image fusion, segmentation, and reconstruction of the compressed trigeminal nerve, responsible blood vessels, and adjacent brainstem structures to obtain a three-dimensional anatomical model of trigeminal neuralgia and neurovascular compression, which can be imported into a color 3D printer to print an individualized 3D printed solid model. Effectively display the shape, degree, complex course of neurovascular compression and the front-back, upper-lower spatial relationship of adjacent structures, meet the needs of precise medical assessment and surgery, and be used for preoperative planning, surgical simulation, and teaching training, and reduce the risk of microvascular decompression surgery. Exploring time, reducing surgical complications, and improving the teaching effect of medical training.