The management of meniscal tears is still evolving. As recently as 20 years ago, many meniscal tears were treated with complete excision. With the growing appreciation for meniscal function, management has progressed to partial meniscectomy, meniscal repair, and meniscal transplant to preserve as much of the meniscus as possible. The decision to perform a meniscal repair depends on the patience and technical expertise of the surgeon and on certain properties of the tear itself. Many surgeons are now performing meniscal repairs on tears of defined patterns and locations in a subset of patients; however, many tears are still treated with partial excision. This article explores the current indications for meniscal repairs and how some surgeons are broadening these indications.