The goals of treatment in spinal deformity are a reduction of pain and restoration of function. The exact modalities will vary depending on the specific nature of a deformity. A combination of approaches may be necessary to achieve satisfactory results. These may include the use of specialized instrumentation, fusion procedures, as well as the adjustment or removal of spinal structures. Perhaps the most important prognostic factor for surgical success and patient recovery relates to the patient frailty index, which evaluates a patient’s physiological tolerance for the stresses of surgery. Even so, advances in technology and the developments of newer strategies is consistently improving outcomes as a whole.