The aim of this review is to classify spinal deformities, provide knowledge in correctional surgery of spinal deformities and highlight the anterior technique. PubMed and Medline database search was performed for published articles up to October 2017 related to surgical techniques for spinal deformities. Spinal deformity may be the pathology of one vertebra or may develop with pathologies of multiple vertebras, ribs or the pelvis. The spine must be analyzed in different planes before starting the treatment because it can be accompanied by multiple organ pathologies. Different surgery types can be used and anterior method is one of them, which can give better result in cases with advanced kyphosis. The therapy of serious spinal deformity is challenging and needs a careful analysis of the patient by the orthopedic surgeon, anesthesiologist, pulmonologist, and neurologist especially when neurologic deficits are existing.