Toric IOLs are great for treating significant degrees of corneal astigmatism and in the USA, we have a range that will treat from 1.0 diopters to 4.0 diopters at the corneal plane. When we place the IOL in the capsular bag, it stays at the correct meridian the vast majority of the time. But in some cases, the toric IOL can shift and end up at the incorrect meridian. How can we reposition the toric IOL in the correct axis with just two tiny paracenteses? This video shows you my best pearls for success.