The advancements in the field of skull base surgery have evolved from its historical antecedents established by giants like Cushing and Yasargil to contemporary approaches brimming with innovative endoscopic and other minimally invasive techniques. The traditional approaches, which include the pterional, frontolateral, transsphenoidal, and suboccipital lateral approaches, have evolved and are well supported by advancements in radiological techniques, meticulous preoperative planning, and agile intraoperative decision-making. This book brings forth evolving details from luminaries in the field of neurosurgery to describe approaches in the field of skull base surgery that encompass the spectrum of pathologies in the anterior, middle, and posterior cranial fossa.