The soft tissue sarcomas are a rare pathology and patient management complex. Good clinical practice should be delineated by rigorous recommendations. In case of suspicion of a sarcoma, precise assessment imagery must be carried out with a biopsy to allow the preparation of the surgical procedure. The surgical procedure should be extensive and complete to enable a macroscopic and microscopic resection. The adjuvant treatment could involve radiotherapy and chemotherapy whose indications should be specified within a multidisciplinary team. Unfortunately, recent studies showed no optimal management for majority of patients treated for sarcomas.