The overwhelming success of cataract surgery and increased patients expectations are the main drive for the phaco-surgeon to achieve emmetropia after lens surgery. Removal of the crystalline lens (whether cataractous or not) with proper IOL implantation combined with other procedures to correct preoperative astigmatism to achieve full emmetropia is now the main target for all phaco-surgeons. There are several approaches for reducing preexisting astigmatism during cataract surgery.