The updated guideline empowers physicians to tailor treatment plans more effectively to individual patient characteristics, preferences, and responses. With a more flexible and individualized approach to angina management, seems that the traditional stepwise approach may not be optimal for all patients. In addition there is a significant shift in the diagnostic approach of chronic coronary syndromes (CCS). In this review, we will mainly refer to key points and queries concerning the current ESC recommendations regarding the diagnostic approach and treatment of patients with stable angina, recommending practical directions to physicians managing patients with CCS.