Patellar dislocation can lead to instability, pain, limited function, and recurrent dislocations. Medial patellofemoral ligament (MPFL) reconstruction leads to favorable patient-reported outcomes, but many patients fail to return to previous activity levels. The initial approach involves nonoperative management, emphasizing the reconditioning and strengthening of the patella’s dynamic stabilizers. However, for patients experiencing recurrent instability, a thorough examination of predisposing factors becomes necessary. MPFL reconstruction becomes necessary for those with recurrent instability and inadequate medial restraint attributed to MPFL injury. A detailed technique for MPFL reconstruction is provided, and this procedure can be combined with other realignment techniques as well.