Coronary artery bypass grafting (CABG) continues to be a mainstay in the management of coronary artery disease. Progress in surgical methods, such as off-pump and minimally invasive surgery, has enhanced patient results, decreased complications, and lowered hospital stays. Surgeons use hybrid techniques now that integrate surgical bypass with percutaneous intervention for more complex situations. Optimized anesthesia, measures to conserve blood, and postoperative management are all necessary to promote patient safety during perioperative care. Advances in imaging, graft choice, and surgical planning further enhance CABG procedures, providing patients with better survival rates, improved long-term cardiac function, and quicker recovery.