Sarcomas are rare. They comprise a heterogenous group of malignancies. Prognosis is determined by presence of distant metastasis, the size of the primary malignancy, and the grade and histogenic classification of the tumor. Careful consideration of the extirpative surgical resection is necessary for appropriate placement of the biopsy incision for diagnosis. Effective therapy includes adequate surgical resection in the form of radical compartmental resection, wide local excision with either pre- or postoperative radiotherapy, or amputation. Progress over the last two decades has resulted in limb salvage and maintenance of limb function for the vast majority of patients.