Osteotomies are surgical procedures that involve the deliberate cutting or reshaping of bones to correct deformities, improve alignment, or address certain musculoskeletal conditions. These procedures are often performed to treat conditions such as osteoarthritis, malalignment of bones, or congenital abnormalities. Osteotomies may be classified based on the type of cut, such as a wedge or a rotational cut, depending on the desired correction. Common types of osteotomies include high tibial osteotomy (HTO) for knee realignment, femoral or pelvic osteotomies for hip dysplasia, and corrective osteotomies for malunited fractures. Advances in surgical techniques, imaging technology, and fixation methods have enhanced the precision and outcomes of osteotomies. Recovery from an osteotomy typically involves a period of protected weight-bearing and physical therapy to optimize functional outcomes. While the procedure carries inherent risks, including infection and non-union, careful patient selection and appropriate surgical planning contribute to successful outcomes. Osteotomies play a crucial role in orthopaedic surgery by offering tailored solutions for patients with specific bone deformities or alignment issues.