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Fractures of the pelvis are difficult injuries to treat surgically. Thorough knowledge of the surgical anatomy is a prerequisite to be able to perform the surgical procedure safely as major neurovascular bundles and viscera are at risk of iatrogenic injury with disastrous consequences which are fortunately rare- but can happen. The approaches ideally need to be learned ideally first on cadavers and then under supervision till thorough familiarity is attained. The learning curve is steep; however it should not dissuade surgeons and once learned can allow for safe internal fixation to be performed in a large number of patients.