Percutaneous pelvic fixation stabilizes pelvic ring disruptions without extensive pelvic dissection. For this reason, these anterior and posterior percutaneous pelvic fixation techniques allow acute and definitive treatment. Successful percutaneous pelvic fixation techniques depend on accurate closed reduction, excellent intraoperative fluoroscopic imaging, and detailed preoperative planning. Early pelvic stability diminishes haemorrhage, provides patient comfort, and allows early patient mobilization from recumbency.