This article reports the case of a 46-year-old female patient with a large olfactory groove meningioma (56 × 60 × 52 mm). Postoperatively, the patient rapidly experienced a significant improvement in vision and visual field, which initially was greatly impaired (initial vision 0.2 and circular impairment of the visual field of the left eye). The meningioma was resected by a frontal, osteoplastic craniotomy. Even on the sixth postoperative day, the vision and the visual field had completely recovered. An operative approach is indicated in large meningiomas targeting a complete resection.