Pelvic metastases are common and pose a challenge to surgical management because of the complex bony anatomy, proximity of critical neurovascular structures, and predilection for infectious complications. Open surgery was traditionally the gold standard, but given the high morbidity associated with such procedures, minimally invasive pelvic surgery has gained popularity for its reduced risk profile and faster return to adjuvant therapy. Several minimally invasive techniques are used in practice today, including cementoplasty, radiofrequency ablation, percutaneous screw fixation, photodynamic nail stabilization, and their combinations. Despite the decreased complications, these minimally invasive techniques have their own challenges and require intimate knowledge of pelvic anatomy and careful preoperative planning.