The Dega osteotomy as originally described provides anterior and lateral coverage for patients with developmental dysplasia of the hip by preserving the inner table of the pelvis posterior to the iliopectineal line and the entire cortex of the sciatic notch. The Dega osteotomy however can also can be modified to provide posterior coverage if needed. In this video we also describe a modification to the osteotomy which provides enough stability to preclude the use of a spica cast post-operatively.