Various studies comparing surgical and percutaneous device closure in adult ASD patients showed different results. Thus, this literature review aims to determine outcomes in adult patients receiving surgical and percutaneous device closure by comparing articles. The articles were searched and filtered in PubMed, Google Scholar, and ScienceDirect databases. The years for articles included in this review were between 2017 and 2022. Only articles discussed the comparison between surgical and device differences included in this review. The exclusion criteria are articles containing only surgical or device closure outcomes. Eight articles met the criteria and were reviewed and chosen based on the aims, sample criteria, repair technique, and the result. This review resulted in similar outcomes in both surgical and device groups. There were slight differences, such as more extended hospital stays, more ECG abnormalities in surgical groups, and incomplete closure in device groups. It was concluded that both techniques effectively treat ASD without significant problems