This chapter provides detail description of Pineal parenchymal tumours. Chapter has 2 well illustrated diagrams and pictures. Pineal parenchymal tumors, pineocytoma, pineal parenchymal tumor of intermediate differentiation, pineoblastoma, histogenesis of pineal parenchymal neoplasms, prognostic and predictive factors of pineal parenchymal neoplasms, papillary tumors of the pineal region are described in detail. 8 references are included at the end of the chapter to facilitate further reading.