In this small text I have tried to include as much information as possible a guide to operating room procedures in Orthopaedic Surgery. Although there are many textbooks on operative orthopaedics, opportunities to learn basic operative procedures in a simplified manner are rare in many parts of the world. Besides describing general practices in the operating room, the book also addresses common surgical orthopaedic procedures. The book invites you into the operative room and provides an opportunity for both the beginner and those at all levels of practice to revise the Surgical steps before embarking on a procedure they are not familiar with. Efforts have been made to include the best information in this book, but nothing can claim to be perfect. I welcome any suggestions, ideas and compliments too.