Summary:The original anterior capsulolabral reconstruction was developed to address anterior glenohumcral instability in athletes. The modification dcscribed in this article include the use of Mitek suture anchors and a horizontal rather a “T” capsulotomy. The procedure emphasizes reconstruction of injured tissue most specifically the inferior glenohumeral ligament, while preserving muscul tendinous attachments and avoiding capsuloligamentous overshortening. Motion is begun immediately postoperatively. A supervised rchabilit ation program is utilized allowing early return of motion and function.