A, Supine arthroscopic view of right hip with 70-degree scope in anterolateral portal showing anterosuperior acetabulum after rim trimming and predrilling of suture anchor sites (black arrows). Red arrow indicates location of anterior suture anchor drill hole, which is hidden by stable labral margin (L); posterosuperior drill hole is not visible in field of view (AR, acetabular rim; FH, femoral head). B, Gracilis autograft after suture placement. Note simple midsubstance sutures and whip stitches at terminal ends of graft. C, Supine arthroscopic view of right hip during partial insertion of leading end of gracilis graft (Gr) into first suture anchor drill site with intimate contact and intentional overlap with labral margin (L). Arrow shows direction of suture anchor (asterisk) placement into acetabular rim (FH, femoral head). D, Supine arthroscopic view of right hip showing terminal end of gracilis autograft (Gr) being seated into final suture anchor site in overlapped position with posterosuperior labral remnant (L) permitting graft tensioning just before deployment of suture anchor (FH, femoral head). E, Image of right hip showing key steps of graft fixation to acetabular rim: 1, seating and fixation of leading autograft end into anterior suture anchor site; 2, labral graft fixation in intercalary section to anterosuperior rim; and 3, seating of “tail” end of graft into final suture anchor site in direction of black arrow with resultant tensioning of graft (red arrow) before final knotless suture anchor fixation to facilitate fluid seal. Yellow asterisk shows region of intentional overlap at labrum-graft junction. SEE TECHNIQUE 51.36.