In the last ten years different forms of nonpharmacological therapy of supraventricular tachyarrhythmias were developed. One of the major advances is the catheter fulguration, which has reduced significantly need for surgical procedures in the treatment of atrial or junctional tachyarrhythmias. Operative treatment for dissection or ablation of accessory atrioventricular pathways is currently highly successful with minimal morbidity in any pathway location. The use of an antitachycardia pacemaker is limited to some reentrant tachycardias. The choice of nonpharmacological therapy is strongly individual and depends on the type and etiologic underlaying of supraventricular tachyarrhythmia.