Chondral lesions concomitant with ligament and tendon injuries are frequently encountered. Accurate identification of lesion is required to adjust optimal treatment for patient. Features of the chondral damage is crucial by means of localization, depth, mechanism of injury and duration of symptoms. Development of osteoarthritis and advancement of the chondral lesion can be postponed if the appropriate treatment shaped considering the forementioned parameters. Factors such as duration until the surgery, revision and mechanism of injury are associated with the severity of the chondral damage and therefore closely linked to patient reported outcomes. The main goal is to prevent the development of osteoarthritis or to delay ongoing process. The best possible functional results are only possible with the best quality of cartilage tissue. Successful outcomes can be obtained with biologically assisted treatment options such as microfracture, autologous chondrocyte implantation, osteochondral autograft transfer and osteochondral allograft transfer. Selection of the optimal treatment is made depending upon the features of the damaged chondral tissue. The aim of this review is to beam a light on the management of chondral injuries by means of identification, natural course, anatomic features, treatment options and outcomes.