This document provides an overview of multidimensional access methods for spatial databases. It discusses how spatial data has complex structures and is often dynamic, with large volumes. Specialized indexing is needed to support common spatial queries like point queries and region queries that search for objects within a given point or region. The document surveys both point access methods for searching point data and spatial access methods for extended objects like rectangles or polyhedra. It concludes by discussing theoretical and experimental performance analyses of different access methods.