Chronic ankle instability is one of the most common problems in foot and ankle surgery, for which anatomic reconstruction is the procedure of choice despite presenting possible complications. Nonanatomic techniques can lead to permanent changes in ankle kinematics. To minimize surgical exposure while obtaining results as good as for open procedures, and in hopes of decreasing complications, an arthroscopic approach has been developed by the author. The results confirm a simple, effective, and efficient technique for reconstruction of the ankle ligament, with a low complication rate, which does not close the door on anatomic or nonanatomic reconstructions in the future.