The authors describe in this review article that functional outcomes vary with surgical technique for retinal detachment repair. Traditional definitions of surgical success have been shifted due to advances in imaging techniques. Assessment of the integrity of retinal reattachment including structural recovery of photoreceptors is important in functional recovery as well as risk of retinal displacement and outer retinal folds. The authors note these outcomes vary with differing surgical technique. They have drawn from the results of the PIVOT study to suggest pneumatic retinopexy may have advantages over par plana vitrectomy in achieving good retinal integrity in reattachment. The authors theorise retinal pigment epithelium pump-based procedures offer the best outcomes.