Background:Injuries to the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) are common knee injuries. The present study was conducted to assess outcome of simultaneous ACL and PCL reconstruction using arthroscopic technique. Materials & Methods:65 patients with combined anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) injury of both genders were included. Preoperative and post-operative lyscholm scores and IKDC scores were assessed. Patients were managed arthroscopically. Patients were evaluated clinically during their follow up visits. Results: out of 65 patients, males were 38 and females were 27. The etiologywas RTA in 40, fall in 8 and violence in 17 patients. Functional outcome was excellent in 30, good in 14, fair in 21 and poor in 0. IKDC score pre-op was 32.6 and post-op was 84.3. Lysholmscore pre-op was 35.9 and post-op was 91.4. The difference was significant (P< 0.05). Conclusion: Regardless of the length of time since the injury, simultaneous ACL and PCL restoration utilizing an arthroscopic approach is a safe and successful treatment that also helps to accomplish early recovery and reduce the number of hospital days spent.