The authors report a series of 14 patients with unilateral superior oblique (SO) palsy having unilateral SO tendon advancement with or without other vertical muscle surgery. This was a retrospective study with mean age of patients of 16.7 years and follow-up of 5-12 months. The preoperative hypertropia measured 6.25 ±2.12PD reducing to 0.86 ±1.46PD at follow-up. The abnormal head posture improved in all cases. One patient developed a temporary Brown’s syndrome which resolved within two weeks. The authors conclude this is a useful procedure in selected patients with SO palsy.