This study introduces a novel strategy aimed at preserving hearing function following the resection of large vestibular schwannomas, focusing on the preservation of vestibular nerve fibers. The approach involves a meticulous anatomical analysis and a stepwise dissection process. Key steps include identifying the vestibular nerve at the brainstem, finding a dissection plane between the nerve fibers and the tumor capsule, and carefully mobilizing and resecting the tumor to minimize manipulation and maintain the vascularity of the cochlear and facial nerves. The findings suggest that preserving hearing function in patients with large vestibular schwannomas is achievable through this method, which emphasizes reducing manipulation and ischemic injury to the cochlear and facial nerves. This approach contributes to the current literature by offering a potentially effective technique for hearing preservation in the context of large vestibular schwannoma resection.