Flexible small grouping and Guided Math is becoming widely used in elementary mathematics instruction around the world. However, there are some different viewpoints on whether or not this is the most effective math instruction for students and teachers. Research proves that being successful in math is important in order for students to be successful later in life at their careers. Since mathematics is so important for a successful life, many teachers and researchers are studying new intervention strategies to help students be successful in math. This literature review will contain peer reviewed, scholarly journals researching the history of education, math anxiety, the Guided Math Approach, math interventions, and the similarities to Guided Reading. The results of the studies throughout this literature review revealed that the Guided Math Approach is effective for improving math achievement scores and will help students gain confidence in mathematics.