Osteotomies around the knee are quite remarkable interventions due to their relative preservation of the structure of the knee joint. It is gratifying that the problems and complications experienced in the past have been reduced with the surgeon`s experience and the current fixation techniques and implants. Nevertheless, we can still encounter complications at every step of the osteotomy process around the knee. At this point, patient selection is very important. When selection of the appropriate patient, a detailed preoperative evaluation, a valid plan, experienced surgeons, a good technique, and rigorous postoperative care and rehabilitation programs are combined with experience, good results are achieved and complications are reduced. Today, there are no widely accepted guidelines or patient selection guides or risk factor analyses of these procedures. Although this situation requires a suspicious approach to literature, the level that we have reached from the past to the present is remarkable.