Fig. (1) (A) Superior vitreoretinal pathology or the patient’s anatomy may prevent adequate visualization or surgical access and/or instrument flexibility may preclude sufficient maneuvering of the eye. (B) With a temporal surgical approach, vitreoretinal pathology, such as a superior retinal tear, may be more easily addressed. (C) Far inferior vitreoretinal pathology in a phakic patient may also be more difficult to tackle from a superior surgical position. (D) A temporal approach avoids potential lens complications.