The facial nerve connections and pathways from the cortex to the brainstem are intricate and complicated. The extra-axial part of the facial nerve leaves the lateral part of the pontomedullary sulcus and enters the temporal bone through the internal acoustic meatus. In the temporal bone, the facial nerve branches into fibers innervating the glands and tongue. After it emerges from the temporal bone it supplies various facial muscles. It contains a motor, general sensory, special sensory, and autonomic components. The physician needs comprehensive knowledge of the anatomy and courses of the facial nerve to diagnose and treat lesions and diseases of it so that surgical complications due to facial nerve injury can be avoided. This review describes the microsurgical anatomy of the facial nerve and illustrates its anatomy in relation to the surrounding bone, connective, and neurovascular structures. K E Y W O R D S anatomy, facial nerve, labyrinth, temporal bone The course of the facial nerve is one of the most intricate among cranial nerves. The facial nerve has a motor and sensory roots, the latter being the intermediate nerve. The motor root supplies the muscles of the face, scalp, and auricle, and the buccinator, platysma, stapedius, stylohyoid, and the posterior belly of the digastric muscle. The sensory root conveys the chorda tympani from the tongue, palatine, and greater petrosal nerve, and taste fibers from the soft palate. It also carries the preganglionic parasympathetic (secretomotor) innervation of the submandibular and sublingual salivary glands, lacrimal glands, and glands of the nasal and palatine mucosa. Clinicians, including neurosurgeons, otologists, and head and neck surgeons need a comprehensive knowledge of the facial nerve. This nerve is divided into eight segments: intra-brainstem, root exit zone, cisternal, meatal, labyrinthine, tympanic, mastoid, and extra-temporal.