The article discusses the Anterolateral Extreme Lateral Infrajugular Transcondylar (Al-ELITE) approach, a modified version of the standard ELITE approach used in neurosurgery. This approach provides access to the jugular foramen, hypoglossal canal, and foramen magnum, making it ideal for treating certain tumors and lesions. The article provides a detailed description of the surgical anatomy associated with the Al-ELITE approach, using dissections performed on a cadaveric specimen. The study aims to enhance the educational understanding of this technique for trainees. [Extracted from the article]