Pelvic osteotomies are an integral part of treatment in developmental dysplasia of the hip after 18 months. This article focuses on the innominate osteotomy which was introduced by Richard Salter in 1961. Salter innominate osteotomy is a complete pelvic osteotomy that hinges on the symphysis pubis and results in anterolateral displacement of the acetabulum. The derotated acetabulum is held in place with a bone graft and fixed with Kirschner wires. Salter osteotomy has been performed over four decades and excellent short- and long-term results have been reported from different centers all over the world. Its success is closely related to appropriate patient selection and meticulous surgical technique with strict adherence to prerequisites.