Despite surgeons’ efforts in refractive surgeries and multifocal lenses, cataract surgeries are aimed to achieve multifocality and freedom from spectacles; the result is not always emmetropia and multifocality. In a “nutshell”—there are two possible conditions in which correction is needed: refractive error after multifocal intraocular cataract surgery that can be corrected by corneal laser treatment, or refractive error post corneal laser treatment that should be corrected by a cataract surgery. In any of these cases, there are different issues to take into consideration—we describe these issues and provide some ways to tackle them.