No single superior technique exists to treat acromioclavicular (AC) joint dislocations. Many techniques have been described; however recent biomechanical studies have shown that anatomic reconstructions with free tendon grafts more closely replicate the native ligaments than other fixation constructs. We present a coracoclavicular (CC) ligament reconstruction technique that uses a suture button construct as backup fixation in addition to a tendon graft that anatomically reconstructs the conoid and trapezoid ligaments. This arthroscopically assisted technique allows for enhanced viewing, less soft-tissue disruption, and smaller incisions. Early results have shown maintenance of reduction and return to full activity in nearly all patients.