Posterior optic buttonholing (POBH) is a well-controlled and safe surgical procedure that provides a better alternative to standard in-the-bag placement of a sharp-edged intraocular lens (IOL). It has a steep learning curve, even in the hands of an experienced, well-informed surgeon. The procedure permanently eradicates retro-optical PCO and significantly reduces fibrosis, especially when combined with anterior capsule polishing. Its efficacy is independent of IOL optic material or edge profile. A video and podcast are also available on this technique.