The incision in Small Incision Cataract Surgery plays an important role in determining postoperative outcomes. This narrative review examines and compares the frown and chevron incision techniques in Small Incision Cataract Surgery emphasizing on postoperative astigmatism, wound stability, surgical ease, and overall visual prognosis. After analyzing existing literature and studies, this review discusses the advantages and disadvantages of each incision type, drawing attention towards major decisive factors such as incision architecture, healing dynamics, and the surgeon’s learning curve. The frown incision, known for its ability to minimize SIA, is contrasted with the chevron incision, which offers potential benefits in terms of wound stability and patient comfort. However, variations in surgical technique, patient demographics, and study designs across the literature make it challenging to establish a definitive superiority of one technique over the other. The review concludes that the choice between frown and chevron incisions should be tailored to the individual patient’s needs and the surgeon’s expertise, with an emphasis on achieving the best possible visual outcomes with minimal complications.