Meniscus is a fibrocartilaginous tissue with limited potential of self-repair. Despite of its vulnerability in recovery, menisci have crucial roles in knee functions. Meniscal injuries cause knee joint degenerations in long time period. Recently, meniscal repair and preserving as much meniscal tissue as possible have to be them main aim for the orthopedic surgeon with the innovations in arthroscopic techniques and instrumentations. Several techniques have been advanced including all inside, inside-out, outside-in, and their combinations or modifications. As each technique has its advantages and disadvantages, there are various preparations, tricks, and pearls in their application.