Dr Gaurav Pawar is the Best ACL Surgeon in Bibwewadi, Dhankawadi, Katraj, Kondhwa, Undri, Wanowrie, Hadapsar and Pune. ACL surgery (Anterior Cruciate Ligament reconstruction) is a minimally invasive procedure to replace a torn or severely damaged ligament in your knee. Because the ACL cannot heal on its own, surgeons replace it with a tissue graft (from your hamstring or a donor) to restore joint stability and function. The ACL connects your thigh bone (femur) to your shin bone (tibia) and is vital for stability during pivoting or twisting movements. Surgery is typically recommended. How the Procedure WorksThe surgery is usually performed on an outpatient basis using arthroscopy, where a surgeon makes small keyhole incisions and uses a tiny camera to visualize the joint. โข The Graft: The damaged ligament is removed and replaced with a graft, which is an autograft (from your own body, such as the hamstring, quadriceps, or patellar tendon) or an allograft (from a deceased donor). โข Placement: The surgeon drills tiny tunnels into your femur and tibia, pulls the graft through them, and secures it with screws or buttons.