With experience, it has become abundantly clear that true and proper planning is the best way to set yourself up for success, especially in fracture surgery! This chapter will take a deep dive into the planning of fracture surgery. When it comes to pre-op planning for fracture surgery, no detail is too small to consider. Every move in the operating room is a decision; even the lack of a decision and passive progress is effectively a decision. Preoperative planning is the first step of any operation and sets the tone for the case. It does not necessarily require complex drawings or fancy templating software. It is about a thoughtful approach to the procedure in its entirety, including indications, patient factors, injury characteristics, and goals of care. A written plan carefully detailing all steps is a very effective tool assisting with successful execution of fracture fixation.