The medial patellofemoral ligament (MPFL) begins at the bony surface between the medial epicondyle of the femur and the tuberosity of the medial malleolus and ends at the upper portion of the medial border of the patella, restricting patellar outward translation and is the main static stabilizing structure of the patella. Injury to this ligament due to patellar dislocation results in failure of the medial patellar limiting structure, often leaving patellar instability or recurrent dislocation. MPFL reconstruction restores the medial patellar static stabilizing structures and provides patellar stability and normal trajectory, but does not correct bony abnormalities. MPFL reconstruction is feasible in cases with clear indications, provided that all pathologic factors leading to patellar dislocation are fully evaluated.MPFL reconstruction techniques are divided into non-anatomic and anatomic reconstruction, with anatomic reconstruction becoming more popular in recent times. The key technique of anatomical reconstruction is to determine the original anatomical starting and ending points of the MPFL. Different grafts and different fixation methods can be used for reconstruction. Regardless of the method of reconstruction, the key is to restore the normal MPFL anatomy and maintain its isometric properties.