The work comprises numerous and detailed anatomical illustrations that faithfully depict the anatomy of the shoulder and elbow regions during various stages of surgical intervention, with particular emphasis on intraoperative risks and complications that may arise. Over 400 anatomical plates illustrate all the access routes primarily utilized in modern shoulder and elbow surgery, featuring a rich repertoire that focuses on open access techniques, the management of neurological injuries, and more complex cases involving disarticulation and amputation of the affected limb.This comprehensive and ambitious text aims to enhance the training of the young surgeon and to support more experienced surgeons in their daily surgical practice.