Traditional techniques for restoration of a separated acromioclavicular joint are afflicted with various complications and often lead to recurrent dislocation. Lately, anatomic as well as minimally-invasive repair techniques with major focus on restoration of the coracoclavicular ligaments have been described for acromioclavicular joint reconstruction. We present a technique for an arthroscopically-assisted anatomical acromioclavicular joint reconstruction by replacing the conoid and trapezoid separately with nonabsorbable sutures and titanium buttons.