Breast cancer is the most common malignancy in women. Bone represents the first site of metastasis in more than 50% of patients who relapse systematically. The pelvis in the most common localization after spine in bone metastasis due to breast cancer. The peri-acetabular localization is a greater concern rather than another part of the pelvis. Bone destruction in this anatomical localization lead to pain and mechanical instability, resulting in a great reduction of autonomy and deterioration of patient's quality of life. In the current report, the Authors review the literature about the surgical treatment, the indications and complications of each surgical technique underling the importance of tailoring each surgical procedure on life span and quality of life in order to minimize peri-operative complications and maximize functional results for the patients.