Surgical approachs to the skull base are usefull in the treatment of expansive and vascular lesions that localize there or near there, increasing significantly the exposition and reducing the need for brain retraction with minor risks of injury during their resection. This is a brief revision of the main approaches to the skull base that describes surgical techniques of them, taking as a reference the experience gained by the autor in a course directed by Dr. Antonio Bernardo, in Anspach®´s laborartories, thanks to a scholarship sponsored by Neurosurgical Peruvian-American Foundation and Peruvian Neurosurgical Society.