Meniscus repair is a minimally invasive knee surgery designed to preserve the natural cartilage that cushions and stabilizes the joint. It is typically considered after a clinical evaluation and imaging, such as an MRI, confirm a tear that has the potential to heal. Unlike a meniscectomy, which removes damaged cartilage, a meniscus repair focuses on stitching the torn tissue back together so it can heal naturally, helping protect the knee from long-term wear and the development of osteoarthritis. Not all meniscus tears are candidates for repair. Surgeons generally recommend this approach when the tear is located in the outer portion of the meniscus, where blood supply is strongest and healing potential is highest. Patient factors also play a role, with repairs more commonly recommended for younger or active individuals who have minimal existing joint degeneration. The shape and orientation of the tear matter as well, with certain tear patterns responding more reliably to repair than others. The procedure itself is usually performed arthroscopically through small incisions using a camera and specialized instruments. Depending on the location of the tear, the surgeon selects a technique that allows the sutures to be placed securely while minimizing disruption to surrounding tissue. Most meniscus repairs are completed as outpatient procedures, allowing patients to return home the same day. Recovery after a meniscus repair requires patience, as the repaired cartilage needs time to heal. Patients are typically placed in a knee brace to limit bending and may need to use crutches for several weeks to reduce stress on the healing tissue. Physical therapy begins early and progresses gradually, focusing first on restoring motion and later on rebuilding strength and stability. While daily activities often resume within a few weeks, returning to high-impact or pivoting sports usually takes several months, once the meniscus has healed sufficiently to support the demands placed on the knee.