The anterior capsulolabral reconstruction (ACLR) was developed in response to the increasing awareness of instability as the common underlying pathologic entity in the throwing shoulder. The ACLR creates a new capsulolabral complex by addressing the inferior glenohumeral ligament with sutures through the anterior glenoid. This is done without detaching, shortening, or transferring any muscle. The shoulder is mobilized immediately and splinted in abduction. A supervised rehabilitation program is incorporated to enhance the return of functional motion and sports-specific athletic activity.