The placement of portals is crucial for a successful surgical evaluation and technique, with factors like patient positioning, individual patient characteristics, and surgeon experience playing a role. Portals are typically located with reference to surface anatomy landmarks and may be adjusted to surgical technique and indication with the goal of providing a safe distance to neurovascular structures. Various working and accessory portals are discussed, along with their distances from neurologic structures at risk. The text highlights the importance of safety and proper technique during portal creation. We provide tips and tricks to minimize the risk of nerve injury during elbow arthroscopy. The importance of controlled retraction and other technical recommendations for nerve protection is also discussed. In summary, this text emphasizes the significance of portal placement and technique in elbow arthroscopy, as well as strategies to minimize the risk of nerve injury throughout the surgical process.