Over the past decade,new technologies such as novel acetabular plates,modified surgical approaches,and 3D printing have enriched the options for treating acetabular fractures.However,challenges persist,including difficulties in fracture exposure and fixation,large surgical incisions,increased intraoperative bleeding,and substantial surgical trauma.As acetabulum is surrounded by a network of blood vessels,nerves and lymph vessels,pelvic organs,and abundant muscles and ligaments,iatrogenic injury can easily occur to the surroundings,even with the use of orthopedic surgical robots in acetabular fracture operation.This article reviews the surgical approach for acetabular fractures,taking into account the adjacent anatomical structures,and aims to explore a safe,fast and precise surgical targeted approach by aligning with the anatomical and physiological spaces within the human body.