Inadvertent dural tears are not uncommon events. Dural tears should be identified during surgery and should be proactively tackled to avoid postoperative complications. The consequences can range from mild and benign headache to tonsillar herniation, infection and even death. Early diagnosis is essential and MRI is the investigation of choice. Certain factors like the degree of stenosis, surgeon experience, ossification of the ligamentum flavum and compromised dural integrity are discussed. The authors discuss the various treatment options available for intraoperative dural tears depending on the stage of diagnosis and extent of the lesion.