We performed a retrospective study on patients who underwent Arthroscopic ACL reconstruction -The purpose of this study was to evaluate our initial experience with this procedure. Between July 97 and March 2001, 29 patients underwent Arthroscopic ACL reconstruction with 4 Strand Hamstring Tendon Craft. 25 were available for follow up. These patients underwent similar operative procedure using Linvatec instrumentation. All patients underwent the same rehabilitative programme. Patients were evaluated using the IKDC ligament evaluation system. The average follow-up was 25.4 months; the overall results were satisfactory in 24 (ninety six percent) and unsatisfactory in I (four percent). In the group with satisfactory results 12 were rated as excellent and 12 as good. The patient with unsatisfactory result was rated as fair. All patients achieved their status within six months of surgery. It is concluded that Arthroscopic ACL Reconstruction using 4 Strand Hamstring Tendon Craft effectively achieves the goals of reconstructive surgery and with proper patient selection and a dedicated rehabilitative approach, full occupational and recreational activities can be expected within six months of the procedure.