This chapter discusses the surgical managementRestrictive strabismus of restrictive strabismusRestrictive strabismus and principles and strategies for reoperationsReoperations. The causes of restrictive strabismusRestrictive strabismus are multi-factorial and the treatment options are often complex and unpredictable. In general, surgical management includes relieving any restriction in the affected eye and/or creating a matching limitation in the fellow eye. A reoperationReoperations may be needed due to an under-correction, over correction or a newly created motility problem. ReoperationReoperations surgerySurgery offers its own challenges and problems.