Astigmatism management is a crucial part of ensuring good postoperative uncorrected visual acuity and high patient satisfaction after cataract surgery. The most commonly performed astigmatic corneal incisions include arcuate keratotomy and limbal relaxing incisions. Although manual astigmatic incisions are inexpensive and easy to perform, their treatment response is inherently variable and less predictable. Femtosecond lasers are able to provide faster, safer, easier, customizable, adjustable, and fully reproducible astigmatic incisions. Various nomograms and online calculators are available to aid in preoperative planning of astigmatic incisions. The refractive effect of astigmatic corneal incisions created by femtosecond lasers can be titrated both intraoperatively and postoperatively by manipulating the incision opening, guided by intraoperative aberrometry and postoperative keratometry. Finally, intrastromal incisions using femtosecond lasers, which are currently under investigation, may deliver decent astigmatic correction while preserving corneal stromal integrity, reducing pain, hastening postoperative recovery, and avoiding risk of infection.