For almost all patients, they have a "refractive" goal after cataract surgery. Whether it be cataract surgery or a refractive lens exchange (RLE), after the crystalline lens comes out, a light refracting implant is inserted back into the eye. This lecture aims to provide an in-depth update on refractive cataract surgery including, pre-operative preparations and measurements, intraoperative tools including newer intraocular lenses (IOLs), and post-operative management.