Objective: The aim of the work is to review the literature regarding the anatomy, pathology, presentation, investigations and the surgical management of lateral ventricular tumors and to compare the indications and the outcome between the transcortical and the transcallosal approaches to lateral ventricular tumors to determine the most appropriate strategy of management for these tumors.Methods: Tumors either arising from or extending to the lateral ventricle are included as long as they could be approached by both approaches.The patients will be evaluated and investigated preoperatively. The operative procedure will be evaluated and analyzed. The patients will be followed for evaluation of extent of resection, postoperative complication and outcome.Results: In this study 50 cases were operated upon, 26 by the transcortical and 24 by the transcallosal approach. There were a total of 25 males and 25females with mean age of 32.7. The extent of removal was found to be total removal in (76.9%) of cases in the transcortical group and (37.5%) cases in the transcallosal group. Subtotal and partial resection were done in limited cases (23%) in the transcortical group and in a large percentage (62.5%) of cases in the transcallosal group. Regarding the outcome of the patients: in the transcortical group (34.6%) of cases had an excellent outcome, (38.46%) of cases had a good outcome, (19.23%) of cases had a poor outcome, and (7.69%) of cases died. In the transcallosal group (37.5%) had excellent outcome, (33.3%) had good outcome, (12.5%) had poor outcome, and (16.7%) died.Conclusion: The transcortical approach provided more maneuverability than the transcallosal approach and more valuable in the laterally located intraventricular tumors.The transcallosal approach is better in accessing both ventricles and is preferred in patients with relatively small tumors