Summary:The zone-specific system allows arthroscopically controlled repair of all viable meniscus tears. The zone-specific cannulae are anatomically matched to the normal contours of the femoral condyles and tibial spines allowing easy passage of specially designed, double-armed sutures. This arthroscopic inside-out technique allows visualization, preparation, and repair of tears not approachable by open methods. Suture capture and fixation is accomplished using a 3-cm posteromedial or posterolateral incision exposing capsule and protecting the neurovascular structures. As with other techniques, zone-specific meniscus repair demands proper tear selection and preparation prior to suturing (Fig. 1).