This presentation provides an overview of the current approach to treatment of scoliosis, which focuses on achieving balance in the spine and approximating normal physiological orientation of the spine rather than the traditional approach of focusing exclusively on reduction of Cobb angles. The presenter uses a combination of diagrammatic representation and actual radiographs to illustrate some of the more controversial and poorly understood aspects of this approach. The presenter focuses on the biomechanical principles of correcting the spine in multiple planes to achieve an optimal result and minimize progression of scoliotic curves. Several novel applications of these principles that are in contradiction with the conventional approach of utilizing three-point passive force systems are discussed and illustrated using case studies. This course will provide an excellent base of knowledge for orthotic practitioners seeking to expand their understanding of scoliosis treatment and challenge longstanding beliefs in this area.