This is the most current surgical text describing and illustrating: limb-sparing surgical procedures in lieu of amputations for bone and soft-tissue tumors of the extremities, shoulder and pelvic girdle sarcomas, and new, sophisticated, multimodality procedures for truncal and abdominal sarcomas. Many of the procedures described in this text were developed by the authors, Drs. Malawer and Sugarbaker, who have a combined surgical experience of over 50 years. This text has over 400 color illustrations and schematics drawings, in addition to imaging studies and full color intraoperative and clinical photographs. The techniques described represent the state of the art in the treatment of adult and pediatric bone and soft-tissue sarcomas. Until the last decade, almost all were routinely treated by amputation, whereas today amputation is required in less than 5% of all cases. This textbook provides step-by-step guidance to surgeons performing surgery for musculoskeletal tumors. Its contents are the result of combined surgical, clinical, and research interests and efforts.