Genu recurvatum is a common entity found in the clinic that my have negative consequence to knee structures. The purpose of this article is to review the anatomy, biomechanics, and clinical effects associated with genu recurvatum. Genu recurvatum is operationally defined as knee extension greater than 5 degrees. Individuals who exhibit genu recurvatum may experience knee pain, display an extension gait pattern, and have poor proprioceptive control of terminal knee extension. An evaluative process and treatment program are discussed that include muscle imbalance correction, proprioceptive practice, gait, and functional training. Taping or knee bracing may be used initially to facilitate knee control. This article is intended to draw attention to patients with genu recurvatum and presents a suggested treatment progression. Individuals who are involved in athletic endeavors should be aware of knee position during activities to help protect joint structures.