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There are a couple of approaches you can take to using WSUS:

1. Detect and deploy required patches - this is a simple approach to using WSUS. The idea is you approve all patches for detection, then approve for installation any updates shown as being needed.

2. Investigate and authorise each patch individually. In this approach, you examine, and hopefully test, each update for suitability in your organsation as part of an overall change management process. Once you are satisfied the upate is appropriate, you approve it for installation for the appropriate target groups. This patch management strategy is more time consuming, but should provide greater stability. This approach is probably more appropriate for larger organisations, or where you have a diverse network and multiple target groups.