This article presents a technique of arthroscopic anterior shoulder capsulorrhaphy using a specialized cannula system and a cannulated screw and a ligament washer for fixation. The procedure provides an arthroscopic surgical approach for repair and reconstruction of lesions of the glenohumeral ligament labral complex (GLLC). This system was developed to provide solid fixation of an arthroscopic anterior capsulorrhaphy, the key element of which is GLLC advancement or capsular shift. The technique is discussed in detail, and initial results of the first 23 patients are presented.