Many patients want minimally invasive surgery for themselves when they visit the clinic, and I have found that most patients think of minimally invasive as small incisions. In fact, the most direct understanding of minimally invasive is to achieve the purpose of surgical treatment of disease through minimal tissue trauma. The most important aspect of surgical treatment of fractures is the preservation of blood flow to the bone tissue to facilitate fracture healing. This requires a variety of techniques, including indirect reduction, extraperiosteal fixation or intramedullary fixation. In the case of comminuted fractures, the free bone may be poorly repositioned to maximize blood flow, and the postoperative review images may simply show that many of the bones are poorly positioned and have not been anatomically repositioned. The latter sacrifices the blood flow of the bone. Of course, the surgical incision is becoming smaller with the support of the indirect reduction concept.