This is the case of a 32-year-old patient who had had 6 previous meniscal surgeries including a meniscal transplantation 13 years earlier. She presented with invalidating pain, and she was unable to perform activities of daily living. She use to need strong pain killers as well as crutches, since she had had a motorcycle accident 1 year before. In this video, the injured medial aspect of her right knee join is seen. It was performed, using FRESH osteochondral allograft, transplantation of the medial tibial plateau including its meniscus, a cylinder in the medial femoral condyle and a valgus osteotomy to unload the transplanted tissue and recover its physiological valgus alignment.