Eight surgical steps demonstrate a coracoclavicular ligament reconstruction resulting from a clavicular dislocation. Through an open incision the distal clavicle is removed. Fiber wire is then placed through the coracoacromial ligament, and three holes are drilled in the distal clavicle. The clavicle is curetted, and fiber wire is subsequently passed through the first two clavicle holes. A wire is then wrapped around the coracoid process, passed through the tertiary clavicular hole, and tied down to reduce dislocation. The coracoacromial ligament is then brought into the distal end of the clavicle to secure the construct.