Vertebral fractures are a common problem in the United States, which is why copious research has been performed to determine the best approaches to repair such fractures—including determining the least invasive procedures with the greatest benefits and fewest complications. In the past 3 decades, vertebral augmentation procedures (VAPs) have been very effective, with new techniques appearing in the field that has very reasonable outcomes and marked improvement in patients’ quality of life. This article highlights the different VAPs approaches—comparing the advantages, disadvantages, and potential side effects of each approach.