The reconstruction of skeletal defects following resection of bony tumors is a subject of continuing research and debate. Every year new techniques are developed and old techniques reviewed. It is only by assimilation of the work presented and published that the orthopedic oncologist can make a competent decision as to which technique should be used in a specific case. This review discusses some of the more recent articles that we believe should be highlighted. There are many methods of reconstruction of the skeleton after the resection of bony tumors. The methods currently in use include resection arthroplasty, autograft, allograft, and endoprosthetic implantation. There are advantages and disadvantages to each technique. It is often the anatomical site and the experience of the surgical oncologist that determine the method to be used.