The departments for neuroradiology and neurosurgery intend to use computer aided methods for individual planning of operations in the sella region. Essential structures like the optic nerve, arteries, aneurysms, the pituitary stalk, ventricles, and tumors should be segmented, reconstructed and visualized. The computed 3D view shall simulate the neurosurgeon’s view through the operation microscope into the scene. This approach shall remedy the lack of available medical image analysis systems for neurosurgical intervention. The emphasis in this article will be on the segmentation algorithms and the impact of the system on daily neuroradiological work.