This video presents the microsurgical resection of an intracranial dural arteriovenous fistula (dAVF) in a 74-year-old patient with recurrent symptoms following prior embolization. It demonstrates preoperative planning, neuronavigation-guided craniotomy, intraoperative indocyanine green angiography, and precise dissection techniques. Unexpected lateral positioning of fistula points and intraoperative adhesions required surgical adaptation. Successful fistula obliteration was confirmed by cessation of venous perfusion. The case underscores the value of microsurgery as a definitive treatment for complex dAVFs and serves as a comprehensive instructional resource for neurosurgeons managing similar lesions.