Osteochondral grafting is a technique which guarantees hyaline cartilage and osteochondral union. This technique has the advantage of transferring already formed articular surface and viable chondrocytes that would provide matrix continuity. It reconstitutes subchondral bony restoration along with joint congruity. It can be performed in a single session. Mosaicplasty can be performed arthroscopically as well. Osteochondral grafting is cheaper than other advanced techniques. Limited graft availability limits the use to smaller defects. Lack of definitive knowledge about the fate of donor site defects, the importance of chondral thickness difference between the donor and recipient tissues, and the prognosis of the dead space among grafts make up the clinical hesitations.