Abstract Biceps tenodesis is a commonly employed surgical intervention for refractory symptoms related to the biceps‐labral complex, those intra‐articular and those within the extra‐articular bicipital tunnel. While a litany of surgical techniques exists, the optimal method for ensuring an anatomic length‐tension relationship during tenodesis remains elusive. Appropriate tensioning may limit undesirable outcomes such as cramping or cosmetic deformity. We describe herein our technique as a simple and efficient means to establish patient‐specific, anatomic tensioning of the long head of the biceps during tenodesis.