The meniscus tears are one of the most treated knee injuries. Three types of meniscal repair methods are currently named with respect to the direction that the suture is first passed into the joint: the outside-in, inside-out, and all-inside approaches. The outside-in method can be used especially for the tears in the anterior portion of meniscus, suturing of meniscal replacement (such as an allograft or synthetic device), securing materials such as fibrin clot to a repair site, and tears in meniscal root. The most important advantages of this method are that it is very easy to reach the anterior 1/3 zone ruptures which is difficult to reach with the other methods and difficult to knot, and does not require additional posteromedial or posterolateral cuts to protect the vascular nerve pack. Because the entry point of the needle is controlled, the risk of nerve injury can be minimized as well with use of this method. The main disadvantage of the outside-in method is in treating the tears of the far posterior horn of the meniscus. To begin the outside-in repair, a spinal needle and suture is introduced by piercing the skin and overlying capsule, advancing it under edge of meniscal tears and finally into the joint. After the end of sutures are free they are then pulled back out of knee by the different methods, and sutures are tied over capsule. The results of meniscal repair using the outside-in method show a high rate of healing with excellent clinical results in patients with anterior horn and midbody tears. The outside-in repair method is a technically straightforward, cheap, and simple technique that does not require special equipment.