The purpose of graft fixation in anterior cruciate ligament (ACL) reconstruction is to provide a fixation force sufficient for daily activity and physiotherapy until biological bone-graft detection is completed within the bone tunnels. Many devices with different features have been designed and manufactured for this purpose. In the preference of any of these devices; as well as their mechanical properties; features such as their effects on intra-tunnel graft healing, their artifact in postoperative imaging, possible biologic behavior, possible need for implant removal and whether they will cause difficulties during ACL revision surgery are also important. The fixation device should provide the stability that physiotherapy can be allowed in the early period and should not disrupt the formation of a suitable environment for graft healing. Although there is no ideal fixation method, each method and device have their own advantages and disadvantages. The orthopedic surgeon who will perform ACL reconstruction must be familiar with all these fixation methods and devices; and should decide for the appropriate fixation method and device for each patient considering their different characteristics.