This chapter provides a comprehensive overview of refractive surgery options, beginning with non-surgical alternatives for vision correction. It then explores corneal collagen cross-linking as a vital treatment for conditions like keratoconus, enhancing corneal stability. The discussion extends to incisional surgeries, detailing the effects of radial keratotomy and incisional correction of astigmatism on visual outcomes and corneal integrity. Corneal refractive surgeries are categorized into surface ablation techniques and flap-based procedures, with a thorough examination of their methodologies and indications. Additionally, miscellaneous options such as corneal rings and collagen shrinkage procedures are discussed, highlighting their role in refractive correction. The chapter also covers lens-based refractive surgeries, outlining the various techniques and their applications. Finally, a stepwise approach to refractive surgeries is presented, providing a structured framework for clinicians to optimize patient outcomes.