Awareness of the medial patellofemoral ligament has increased markedly over the past decade. Previously, this structure, which was delineated in anatomical studies, had been little recognized and underestimated with regard to its importance in stabilizing the patella. The goal of this review of the medial patellofemoral ligament is to develop a current understanding of how this ligament functions in patellofemoral stability and to review the current treatment options for medial patellofemoral ligament disruption.