Background: Scaphoid fractures have a reported incidence of 1.47 fractures per 100,000 person-years and account for close to 3% of all wrist fractures in the United States. Expedient and appropriate treatment of scaphoid fractures is necessary to avoid devastating complications such as nonunion and subsequent scaphoid nonunion advanced collapse. Multiple approaches have been described for scaphoid open reduction and internal fixation (ORIF). The dorsal approach to the scaphoid is a reliable approach for scaphoid fractures proximal to and at the scaphoid waist. Purpose: This video overview and case presentation demonstrate the appropriate use of the dorsal approach for fixation of an acute scaphoid fracture. Methods: The anatomy, examination findings, diagnosis, and treatment indications of scaphoid ORIF via a dorsal approach are reviewed. The patient is 34-year-old right-hand–dominant man with an acute scaphoid fracture. After a thorough discussion of risks, benefits, and prognosis with our team, the patient elected to proceed with surgical fixation. Results: Successful ORIF of the scaphoid is accomplished with one headless compression screw via a dorsal approach. The patient’s wrist demonstrated excellent range of motion at follow-up. Conclusion: The dorsal approach can reliably be used for ORIF of scaphoid fractures proximal to and at the level of the scaphoid waist.