Recently, with the increase in early cancer diagnosis opportunities, the development of surgical techniques, and the introduction of many new effective chemotherapeutic agents, the survival rates of our oncological patients are steadily increasing. As a result, we are encountering spinal metastases more frequently. In the treatment of spinal metastases, our goal is to maintain the patient`s quality of life by providing pain palliation, local tumor control, and preserving neurological functions through a multidisciplinary approach. For patients with instability, spinal stabilization should be performed, and for those with spinal cord and cauda equina compression, decompression should be carried out. In surgical approaches, our goal should be separation surgery, using minimally invasive techniques as much as possible according to the patient`s survival expectations and general condition, so that postoperative radiosurgery can be optimally planned. Nowadays, thanks to radiosurgery, curative results can be achieved in patients with a limited number of spinal metastases, rather than just palliative outcomes.