Strabismus surgery is distinct, firstly because the move­ment of the tissue is the essential component of the final goal of the surgery and, secondly, because at present time and in the near future there is a small chance that further surgery may be necessary. It is therefore important to design the surgical technique so as to avoid excessive restrictions on the eye, minimally disturb the strength and leverage of muscles, preserve tissue planes, and maintain a record of preoperative details thus allowing necessary surgical reintervention to be easily accom­plished. Strabismus surgery is one of the frequent types of ophthalmic surgery. The variability in the surgical results, which is seemingly beyond the surgeon’s control, is a cause of dilemma amongst most ophthalmologists. Some of this variability can rightly be attributed to unpredictable patient responses, but a substantial amount can be attri­buted to measurement and judgment errors and variations in the surgical technique. With advances in diagnostic methods, better understanding of different forms of strabismus, functional interplay between various muscle groups, availability of better and safer suture materials and needles, surgical procedures have changed remarkably specially with reference to the performance of bolder surgery and an attempt to correct large deviations and combined horizontal and vertical deviations with a one stage procedure. Use of adjustable sutures permits bolder and more accurate surgery in unpredictable situations.