Historically, inferior oblique surgery was considered extremely difficult and was fraught with complications such as fat adherence, ciliary nerve damage with pupillary dilatation, and intraoperative hemorrhage. More recently, however, the management of inferior oblique overaction has improved substantially. The late Dr. Marshall Parks pioneered meticulous techniques that all but eliminated these complications [1]. Another important advance has been the inferior oblique anteriorization procedure [2]. This technique improved inferior oblique overaction; however, anti-elevation was a common complication. Your author published a modification of anteriorization called graded anteriorization which gave excellent outcomes without the complication of anti-elevation [3].