Brain stroke can be of two types, ischemic and hemorrhage. All patients with brain stroke need secondary prevention, which means preventing stroke recurrence. There is high level evidence that medicines like aspirin - a blood thinner, statin a medicine that reduces cholesterol, control of blood pressure, diabetes control help in preventing second stroke. These should be under the follow-up of a neurologist. Along with that, lifestyle modification with having reduce extra salt in diet, low oily or fatty goods, low sugar containing foods, exercise, meditation, weight control, having more green leafy vegetables, avoiding tobacco or alcohol in any form are very important. There are other things like checking heart functions and heart rhythm, checking the condition of blood vessels, supplying blood to the brain, and other conditions that are important. Having a regular consultation with a neurologist, by in clinic consultation or teleconsultation, and following the advice is important to prevent stroke recurrence.