Abstract Anterior glenohumeral instability is a common disorder often associated with traumatic detachment of theanteroinferior capsulolabral complex (Bankart lesion). Surgical treatment is often required to prevent recurrent instability. Open Bankart reconstruction has proven to be a reliable procedure with low recurrence rates. The open surgical approach allows treatment of all patterns of anterior instability and does not require the presence of a discrete Bankart lesion. Successful reconstruction requires reattachment of the capsulolabral complex as well as reduction of capsular redundancy if present. Excessive tightening of the capsule should be avoided. The techniques for open repair have been well established and should be easily reproducible by most surgeons.