The treatment of recurrent anterior shoulder instability often involves bony augmentation procedures. We present an all-arthroscopic Bristow-Latarjet coracoid transfer for complex anterior shoulder instability. The technique consists of 6 arthroscopic portals, and involves exposure and osteotomy of the coracoid process and transfer of the coracoid block with the attached conjoint tendon to the anterior glenoid neck where it is fixed with a single cannulated screw. Our main indications for coracoid transfer are significant glenohumeral bone loss and revision cases after failed Bankart repair. Our initial experience has been encouraging and we will continue to further develop this arthroscopic technique.