This chapter explores the cutting-edge areas of tendon graft bioengineering, focusing on notable progress in biofabrication technologies, including 3D printing and electrospinning. These techniques facilitate the development of scaffolds that replicate the inherent architecture of tendons, offering the potential for enhanced repair results. The article presents hybrid scaffolds that combine natural and synthetic materials to improve biocompatibility and durability. Additionally, it discusses ‘smart’ scaffolds filled with bioactive chemicals to promote and expedite the healing process. The narrative focuses on cell-free and minimalist approaches, highlighting techniques that utilise the body’s inherent healing capabilities while streamlining the process of applying them in a professional setting. Although there are obstacles, such as biocompatibility and regulatory approval, these advancements show a hopeful future for tendon repair, highlighting the possibility of improved, customised, and readily available treatment options.