OBJECTIVE Surgical treatment of vertical deviations secondary to other causes can be difficult and treatment approaches may vary. The purpose of this discussion is to present surgical treatment options for the management of vertical deviations secondary to other causes including dissociated vertical deviation, primary inferior oblique overaction, superior oblique overaction, and nonspecific eccentric gaze hypertropia with diplopia. RESULTS Surgical treatment of vertical deviations secondary to other causes is beneficial to patients. Treatment approaches may vary depending upon patient circumstances and surgeon preference. Side effects and complications from surgery to manage these conditions can occur but are usually of minor significance and not vision threatening. CONCLUSIONS Treatment of vertical deviations secondary to other causes is effective and results usually satisfactory.