In this review, we discuss management options for oligometastatic colorectal cancer, including an overview of surgical concepts, the current literature on local ablative techniques including stereotactic ablative body radiotherapy (SABR), thermal ablation, selective internal radiotherapy (SIRT), transarterial chemo-embolization (TACE) and systemic therapy as an adjunct to local treatment strategies. We discuss the role of modern imaging techniques in selecting suitable patients for radical treatment.We also outline the role of the oncology multidisciplinary team meeting, which has become a key component in the care management pathway to ensure that the increasingly complex treatment strategies available are appropriately selected and combined for each individual patient. We review the available literature on the impact on quality of life that each treatment modality affords, recognizing the importance of embracing advances in medical technology whilst maintaining patient well-being as the center of focus.