Craniopharyngiomas are quite rare, slowgrowing, extra-axial, benign, partly cystic epithelial tumors of the sellar region. Symptoms frequently develop insidiously and are caused by compression of the pituitary, hypothalamus, third ventricle, and optic pathways. Radical surgery is challenging and may cause severe morbidity. Treatment of craniopharyngeomas remains somewhat controversial, and the two main options attempt at gross total resection or planned limited surgery followed by radiotherapy. There is a plethora of surgical approaches, none of which are universally superior to the others but are useful in our armamentarium to tailor a case-specific approach.