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Neuroendocrine tumors (NET) represent a unique type of hepatic metastasis. These tumors tend to be well encapsulated and generally carry a favorable prognosis. Many of these patients will require repeated hepatic interventions over a period of several decades. Surgical enucleation of hepatic NETs is a technique that is not often employed but that holds great potential for preservation of maximal hepatic parenchyma, while carrying a low risk of injury to underlying vascular and biliary structures. This video describes the application of enucleation to patients with NET metastases and addresses patient selection, surgical techniques and management of complications.