To effectively treat individuals with Cerebral Palsy (CP) through orthopedic surgery, the medical and rehabilitation team should possess a deep understanding of normal anatomy, particularly related to ambulation, as well as the functional pathology specific to CP. Establishing realistic treatment goals that are mutually agreed upon by the patient, family, and other stakeholders is crucial. The team must also have the knowledge and skills to perform necessary treatments, along with access to facilities equipped for evaluations and treatments. The approach to orthopedic surgery in CP has evolved towards single-event multilevel surgery (SEMLS) over the last two decades. SEMLS aims to correct all fixed musculoskeletal deformities in a single procedure, enhancing sagittal plane balance, reducing hospitalizations, and streamlining rehabilitation. This method is cost-effective, minimizes disruption to schooling, and eliminates the need for staged surgeries, which were previously common. The core principle of SEMLS is the simultaneous correction of multilevel deformities contributing to gait dysfunction in ambulatory CP patients