The president of the United States generally needs Senate approval to appoint most officials, as required by the Appointments Clause of the Constitution. However, there are specific exceptions where the president can appoint people without approval from anyone else:

1. Inferior Officers : Congress may allow the president to appoint "inferior officers" without Senate confirmation. This means that if Congress has passed a law authorizing the president to appoint certain lower-level officers directly, the president does not need Senate approval for those appointments.
2. Recess Appointments : The president can make temporary appointments when the Senate is in recess (not in session). These recess appointments allow the president to fill vacancies temporarily without Senate confirmation. However, the appointment expires at the end of the next Senate session unless the nominee is formally confirmed.

These exceptions are designed to balance government functionality and separation of powers. Recess appointments ensure essential roles are filled even when the Senate is unavailable, while appointments of inferior officers provide Congress flexibility in delegating appointment authority. In summary, outside these specific situations, presidential appointees generally require Senate advice and consent.