Surgical approaches of the elbow region have specific features due to the complex anatomy of the elbow. Accordingly, these approaches may also be complex due to the structures providing elbow stability in addition to vascular and neurological structures of the region. Successful management of the related pathology around the elbow joint is closely related to the selection of suitable surgical approach. The surgical approaches around the elbow joint are classified as medial, lateral, anterior, posterior, and combinations of these. Knowing which approach is the best for related pathology is the basic rule for appropriate treatment.