Meniscus Repair is a surgical procedure to preserve and repair torn meniscus cartilage in the knee joint using arthroscopic techniques. The meniscus is a C-shaped piece of fibrocartilage that acts as a shock absorber and load distributor between the femur and tibia. When the meniscus tears, it can cause pain, swelling, locking, and increased risk of arthritis if left untreated. Meniscus repair aims to preserve this vital structure rather than remove it, providing better long-term knee health and function. At Arthoscenter, Dr. Gurudeo Kumar specializes in advanced meniscus preservation techniques, performing over 200 meniscus repairs annually with excellent success rates. Our facility in Bihar is equipped with state-of-the-art arthroscopic instruments and specialized meniscus repair devices that enable healing of tears that were previously considered unrepairable. We prioritize meniscus repair over removal (meniscectomy) whenever possible, as preserving the meniscus protects against future arthritis. The meniscus has two main zones: the outer "red zone" with good blood supply and the inner "white zone" with poor blood supply. Tears in the red zone have excellent healing potential and are ideal for repair. Tears in the red-white zone (middle third) can heal with proper repair techniques and biological augmentation. Even some white zone tears can be successfully repaired using advanced techniques including meniscus root repair, ramp lesion repair, and all-inside suture devices. During arthroscopic meniscus repair, small incisions are made around the knee, and the torn meniscus is visualized using a camera. Special suture devices are used to place strong stitches across the tear, bringing the torn edges together to promote healing. Various repair techniques are available including all-inside repair (FasT-Fix, Sequent), inside-out repair with vertical mattress sutures, outside-in repair for anterior horn tears, and meniscus root repair for posterior root avulsions. The decision between meniscus repair versus meniscectomy (removal of torn portion) depends on several factors: patient age, tear pattern and location, tissue quality, chronicity of tear, and activity level. Younger, active patients with acute traumatic tears in repairable zones are ideal candidates for repair. Dr. Gurudeo Kumar conducts thorough pre-operative evaluation and discusses the likelihood of successful repair based on MRI findings and clinical examination. Meniscus repair offers significant advantages over meniscectomy. Preserving the meniscus maintains the knee's natural shock absorption and load distribution, reducing the risk of arthritis by 14-fold compared to meniscus removal. Patients who undergo successful meniscus repair have better long-term knee function, less pain, and lower rates of future knee problems. However, repair requires longer recovery and stricter activity restrictions initially to allow healing, typically 4-6 months to return to sports versus 6-8 weeks for meniscectomy. At Arthoscenter, we combine surgical expertise with advanced rehabilitation protocols designed specifically for meniscus repair. Our physiotherapy programs include initial protection phase with restricted weight-bearing and range of motion, progressive strengthening while protecting the repair, and sport-specific training before return to athletics. Success rates for meniscus repair range from 70-90% depending on tear characteristics, with higher success in younger patients, peripheral tears, and acute injuries. When repair is successful, patients enjoy excellent long-term knee health and can return to high-level activities including competitive sports.