<p>Condyle dislocation is an rare yet functionally limiting condition that can present acutely or chronically, with recurrent episodes posing significant management challenges. Although various treatment modalities from non-surgical to surgical are proposed for this condition based on the duration of dislocation. Chronic long standing are the most challenging as they do not yield to the conservative similarly are the recurrent ones which poses greater defiance. The evolution of surgical management of dislocation has progressed from invasive bony procedures such as eminectomy, condylotomy which often cause irreversible anatomical alterations to a hardware based tethering techniques, that despite providing mechanical restraint, carry risks of infection and hardware related complications. The current trends favours minimally invasive soft tissue preserving techniques where in the joint anatomy is preserved while preventing dislocation, representing a significant advancement in TMJ surgery. This case report of a young male patient with developmental delay who experienced recurrent, agonising bilateral dislocations over a two-year period. Despite conservative management recurrent incidence persisted, prompting intervention. Clinical examination and imaging revealed recurrent dislocation with associated degenerative joint changes. The planned procedure was surgical anchorage of the condylar heads to restrict anterior translation of the mandible. The procedure was successful, with no postoperative recurrence and improved functional outcomes. This case highlights the role of minimally invasive surgical approach in managing chronic recurrent condyle dislocation and supports surgical condylar anchorage as an effective treatment in patients with developmental anomalies, neurological impairment and older individuals.</p>