Objective To make a conclusion about the methods and main points of surgical position for cervical artificial disc replacement (CADR). Methods We collected the data from January to December 2015 in West China Hospital of Sichuan University. It included 102 patients in the surgical group of cervical spine, which were cervical vertebra degeneration and doing CADR according to the segment, quantity of the replacement and whether belonged to hybrid surgical method, then we analyzed and determined how to achieve the desired surgical position. Results The surgical positions of the patients in this group all conformed to the requirements of the replacement and gave intraoperative excellent exposure and less blood loss, made the vision of decompression clear and thorough, made the position of replacement prosthesis great. There were no postoperative complications. The patients all healed and were discharged in 5 to 7 days after operation. There was no position offset of prosthesis and no extrusion in the following 6 to 18 months. It restored the ideal physiological lordosis of the cervical spine. Conclusions According to the different segment of the replacement, we analyze and remain the location of the preoperative cervical spinal neutrality and a bit of extension which make the artificial cervical disc in favor of being well placed during an operation and promote cervical spine to maintain normal physiological lordosis during early post-operation, and greatly reduce the incidence of postoperative pain of neck and shoulder.