The medical image compression plays an important role in digital image compression. Compression reduces the redundancy and encodes the data. To use different techniques and algorithms we can get the desired result. But it will depend on the used algorithm, which algorithm we have used in which circumstances. In this paper we have used SPIHT method with wavelet bior4.4 on brain surface medical image with different type of image parameters. And observe the result of this method with different types of image parameters at different level of iterations.