This presentation proposes a strategy for prevention, early recognition, damage control, and specific plans for action to achieve an optimal outcome in cataract surgery complicated by vitreous presentation. Anterior and pars plana approaches are detailed with ample video. The panel includes a retina-vitreous subspecialist. By the conclusion of this video, cataract surgeons of all levels of expertise will be able to describe a strategy for choosing the method and timing to remove residual lens material and appropriate management of vitreous, incision, and choice of IOL to achieve optimal outcomes in cataract surgery involving vitreous presentation.