Slipped Capital Femoral Epiphysis is the leading cause of limp in the adolescent population. This study aimed to discuss that intertrochanteric Imhäuser osteotomy led to an improved functional outcome, and discussing indications, contraindications and surgical technique of Imhäuser osteotomy.In moderate and severe slips, residual growth and remodeling after in situ stabilization are unable to compensate for the remaining femoral neck deformity. In these slips, a modified Dunn procedure might be more effective in order to reduce the risk of early onset hip osteoarthritis but carries high risk for avascular necrosis.Subtrochentric Imhauser osteotomy provides excellent option for correction of the residual deformities in chronic or healed SCFE.The Imhauser osteotomy is Subtrochentric valgus, flexion and internal rotation so correct the deformities in the chronic cases of SCFE. In consideration of our 23-year follow-up and in regard to other studies, we still consider the Imhauser ¨user osteotomy to be indicated for SCFE with angles of displacement >40°.