Ankle stabilisation surgery can be performed using different techniques depending on the severity of ligament damage. Ankle arthroscopy involves a small incision through which a fibre optic camera and surgical tools are inserted while you are under anaesthetic. This allows the surgeon to assess the joint, diagnose ligament damage, remove debris, or repair ligaments. Arthroscopy typically results in a quicker recovery and lower risk of complications compared to open surgery. Open ankle stabilisation surgery, performed under general anaesthetic, includes two main approaches. In direct ligament repair, the damaged ligaments on the outer ankle are repaired and reinforced to restore stability. In ligament reconstruction, a tendon graft—often taken from the patient—is used to replace severely damaged ligaments and stabilise the ankle. Both procedures aim to restore ankle stability, prevent recurrent sprains, and enable a safe return to daily and sporting activities.