**Abstract**

Premium multifocal IOLs are a popular option for cataract or presbyopia patients today. Patients can achieve high levels of success and satisfaction after these advanced technology IOLs implantation. However, adequate preoperative clinical evaluation including patient selection, optical and anatomical examination is crucial to reach a success case. Based on the preoperative diagnosis including the corneal astigmatism, biometry measurement, IOL power calculation, presbyopia correcting IOLs' indications and contraindications should be assessed for IOL selection strategy. Surgical procedure should be technically optimized to achieve the best outcomes. Adequate management of both satisfied and unsatisfied patients will improve the benefit of current premium IOLs.

**Keywords:** premium IOL surgery, patient selection
