Knee arthroscopy has benefited greatly over the past 2 decades from new developments in technology and instrumentation. These advances have transformed arthroscopy from a purely diagnostic procedure to one through which extensive and intricate surgery can be performed. In addition, the new technology and instruments now place the orthopedic surgeon at the threshold of successful arthroscopic surgery in the office. Attention to the basics ancillary to the actual surgery, however, are still of prime importance in ensuring complication-free arthroscopic procedures.