Correction of apathological kyphosis to restore abalanced, low-pain or pain-free and load-bearing spine. Pronounced sagittal imbalance, progressive kyphosis despite conservative therapy, and neurological deficits are indications for surgery. Further surgical indications are severe therapy-resistant complaints and/or psychologically burdening cosmetic impairment. The guidelines for surgical indications are kyphosis angles of 75-80° thoracic and 30-50° lumbar. No specific, but general contraindications for surgical treatment. Depending on the characteristics of the kyphosis, different surgical techniques are used. Rod-screw systems are mainly used, and surgery is primarily performed by shortening the spinal column from posterior using awide variety of techniques. In individual cases, this can be combined with ventrally mobilizing, resecting, or straightening techniques. The aim of surgical treatment is to achieve aprimarily stable and weight-bearing spine. Regular wound control as well as stabilizing physiotherapy during follow-up are essential. Postoperatively, initially abstaining from sports; later physical activity is encouraged under professional guidance. The literature shows very good corrective results in children and adolescents. The technical procedures are associated with alow and acceptable complication rate. Over the course of time, these patients must be monitored in order to detect possible long-term complications such as junctional kyphosis or pseudarthrosis.