This document discusses techniques for performing percutaneous coronary intervention (PCI) via the transradial approach. It aims to debunk myths that complex PCI cannot be done through the radial artery. The key principles discussed are preparing patients with antiplatelet and anticoagulant medications pre-procedure, using the appropriate guidewires and catheters to access tortuous anatomy, and performing techniques such as balloon-assisted guide engagement and sheathless guide insertion to facilitate complex cases through the radial artery. The conclusion emphasizes that the basic principles of PCI still apply and that with practice of the techniques discussed, transradial PCI can be successfully performed for many cases, even in complex situations traditionally done via the femoral approach.