The triangular fibrocartilage complex (TFCC) is a soft tissue complex that spans and stabilizes the ulnocarpal joint and the distal radioulnar joint (DRUJ). The complex consists of several ligaments, a meniscal homolog, and an articular disk. The most critical ligaments of DRUJ instability include the dorsal and volar radioulnar ligaments. Triangular fibrocartilage complex tears are a common source of ulnar-sided wrist pain and distal radioulnar joint instability. Several surgical procedures to repair TFCC foveal tear have been proposed, including open and arthroscopic TFCC repairs. Dorsal or a palmar surgical approaches have also been proposed. However, the ideal procedure and approach for TFCC foveal tear remain controversial.