Introduction: Meralgia paresthetica (MP) is a neuropathy of the lateral femoral cutaneous nerve (LFCN) that presents symptoms such as pain, paresthesias, and dysesthesia in the lateral region of the thigh. Objective: To present the conservative and surgical treatment of patients with MP. Discussion: Conservative treatment should always be the first management option for patients with MP. Different medication options are used for symptom control: non-steroidal anti-inflammatory drugs (NSAIDs), amitriptyline, carbamazepine, phenytoin, as well as local ice and physiotherapy. Among the minimally invasive treatments, pulsed radiofrequency and extended pulsed radiofrequency stand out. It is also described the use of LFCN neurolysis through alcoholization. Surgical treatment is an option to be indicated when pain symptoms are not controlled after conservative management. Among the surgical alternatives described, laparoscopic neurolysis, classic neurolysis, neurectomy, and neurolysis associated with medial transposition of the LFCN stand out. Conclusion: MP presents different options for patient management. In general, the patient should initially undergo conservative treatment through oral medication and physiotherapy. In the failure of pain control, the possibility of performing invasive treatment should be evaluated. Among the surgical options, pulsed radiofrequency, neurolysis, and neurectomy stand out.