Future anterior cruciate ligament surgery techniques will evolve from emphasizing the technical factors involved in successful ligament reconstruction to emphasizing the biomechanical, neuromuscular, and biologic factors, which will enhance healing. Advances in computer and robotic technology will help the surgeon perform anterior cruciate ligament reconstruction. The importance of the anterior cruciate ligament and its relationship with other anatomic and neuromuscular structures of the knee has been well researched over the past decade; the next decade will combine this knowledge with technological and biological advancements.