Background: The intra-articular fibro-cartilaginous structures known as knee menisci performs a significant and vital role in in knee biomechanics, distributing load, absorbing shock, lubricating the joint, and maintaining joint stability. Meniscal tears are treated conservatively or surgically, with the latter group including arthroscopic meniscectomy and arthroscopic meniscal repair. Materials & methods: 40 patients presenting with pain, swelling, difficulty in bending/straightening the leg, locked knee & being clinically diagnosed with meniscal tear were enrolled. After obtaining detailed history, Clinical examination, participants were subjected to specific investigations (MRI). Group A: Subjects who underwent meniscal repair. Group B: Subjects who underwent meniscectomy (meniscal debridement). Follow up were done on 2 weeks, 6 weeks, 12 weeks & 24 weeks when participants were evaluated primarily by assessing improvement in functional range of movements on 2,6,12,24 weeks and secondarily by IKDC score on 6,12,24 weeks and visual analogue scale (VAS) on 2,6,12,24 weeks. The data were recorded in the appropriate pro forma. Data analysis was done using SSPS software. Results: Mean duration of surgery was 88.6 minutes among participants of Group A and was significantly higher in comparison to participants of Group B (51.45 minutes). While comparing the intensity of pain as assessed by VAS among the two study groups at different time intervals, non-significant results were obtained. Among participants of Group A, mean IKDC at 2 weeks, 6 weeks, 12 weeks and 24 weeks was 44.11, 58.86, 64.83 and 79.41 respectively. Among participants of Group B, mean IKDC at 2 weeks, 6 weeks, 12 weeks and 24 weeks was 43.41, 50.44, 57.67 and 64.74 respectively. While comparing the IKDC score among the two study groups, it was seen that mean IKDC score at 6 weeks, 12 weeks and 24 weeks was increased among participants of Group A. Incidence of re-operative was 5 percent among patients of Group A while it was absent in group B. Complications (wound infection) was seen in 1 patient each (5 percent each) of both Group A and Group B respectively. Conclusion: The technique of meniscal repair remains an excellent option of treatment for chronic tears with good clinical improvement in comparison to debridement. We recommend meniscus repair whenever possible independent from age of patient. When repair is not possible, debridement also has good results at least in short term follow-up.