Isolated Bankart repair has been one of the most common surgical techniques for managing anterior shoulder instability. However, despite advanced surgical techniques, recurrent instability after isolated Bankart repair continues to be an issue. With remplissage, the posterior capsule and rotator cuff is transferred into the Hill-Sachs Lesion (HSL) to prevent engagement of an off-track lesion and provides posterior restraint to anterior translation of the humeral head. Several studies have demonstrated that in combining these techniques, the Bankart-remplissage reduces the risk of recurrent instability with few postoperative complications. Over the last several years, the threshold for addition of remplissage has lowered as surgical techniques have improved, loss of external rotation appears to be negligible, and mid-term outcomes appear favorable.