Since biomechanical studies have shown that the medial patellofemoral ligament (MPFL) is the main restraint against lateral patella displacement, reconstruction of the MPFL has become an accepted surgical technique to restore patellofemoral stability. Recently, various procedures have been described addressing the reconstruction of the medial patellofemoral complex. We present a technique where the MPFL is reconstructed anatomically to restore physiological kinematics and stability using a free gracilis tendon autograft.