Varus osteotomy is one of the options that is frequently applied using containment philosophy in the treatment of Perthes disease, mystery of which has not been solved for more than 100 years. Patients in lateral pillar group B and B/C would benefit the surgery most. As a disadvantage, long-standing limping and shortening could be seen postoperatively. In this review it is aimed to bring selected articles together and give the reader a perspective on the option of varus osteotomy as an alternative in the treatment of Perthes disease.