Revision anterior cruciate ligament (ACL) reconstruction presents many technical considerations not seen in primary ACL reconstruction. A variety of allograft options are available for use during revision ACL reconstruction, including bone-patella tendon-bone, calcaneus-Achilles tendon, and all soft-tissue grafts. Anatomic double-bundle ACL technique improves knee kinematics and provides the rotatory stability necessary to return to ACL-dependent activities.