This gorgeous little munchkin is Ba Bing, a 4 year old Yorkshire Terrier who presented to us with grade 3 medial patella luxation and complete rupture of the cranial cruciate ligament. An extracapsular repair was performed which involves placing a synthetic implant outside the stile joint to mimic the action of the cranial cruciate ligament. A tibial crest transposition (TCT) was also performed, which aims to realign the patella and its insertion site to prevent the patella from continuing to luxate. Ba Bing was very brave. Southpaws specialist surgeons have years of experience in orthopaedic surgery including elective and trauma related surgeries. Other canine knee related issues include cruciate disease and Southpaws surgeons can perform TPLO, TTA, CBLO and extracapsular techniques for this condition.