Abstract Pelvic ring injuries combine three-dimensional deformity with narrow osseous corridors and proximity to neurovascular structures. Minimally invasive fixation can reduce exposure-related morbidity, but its success remains constrained by the quality of reduction achieved before fixation. This focused narrative review examined CT-based phenotyping and planning, mirror-template reconstruction, robot-assisted fracture reduction (RAFR), navigated percutaneous fixation, and postoperative audit.