The successful treatment of peritoneal surface malignancy requires a comprehensive management plan that utilizes cytoreductive surgery (CRS) and perioperative chemotherapy. In addition, proper patient selection is mandatory. Complete resection of all visible malignancy is essential for treatment of peritoneal surface malignancy to result in long-term survival. Up to five peritonectomy procedures may be required (5). The visceral resections and parietal peritonectomy procedures that one must utilize to adequately resect all visible evidence of disease are illustrated below (Table 1). Their utilization depends on the distribution and extent of invasion of the malignancy disseminated within the peritoneal space. Normal peritoneum is not excised, only that which is implanted by cancer.