Replacement of amalgam restorations may lead to more destruction of sound dental tissue, is often a time-consuming chair procedure, and it does not always provide a favorable risk/benefit balance for the patient. This article reviews the clinical alternative of repairing instead of completely replacing old amalgam restorations. During a 2-year period, 45 repaired restorations were monitored every 6 months by direct (clinical) and indirect (color slides and stone casts) methods. Findings of this study reveal broad clinical success when based on proper indications.