The Latarjet procedure, initially described by M. Latarjet in 1954, involves the transfer of the coracoid process with its conjoined tendon to the anterior glenoid rim for addressing recurrent anterior shoulder dislocation. Traditionally performed through an open deltopectoral approach, Lafosse introduced an arthroscopic Latarjet procedure in 2007. The primary indication for the Latarjet procedure is glenoid bone loss ranging above 15%. Both open and arthroscopic Latarjet procedures have demonstrated excellent patient functional outcomes with low incidences of recurrent instability. Advantages of the arthroscopic Latarjet procedure include enhanced visualization for precise coracoid graft positioning, the capability to address intra-articular pathologies, reduced potential for postoperative scar tissue and stiffness, as well as benefits such as less pain, improved cosmesis, decreased stiffness, and faster functional recovery when compared to the open procedure. Disadvantages of the arthroscopic Latarjet include increased surgical time and cost, with the procedure being more technically challenging compared to the traditional open approach, leading to reluctance in adopting this technique. Despite requiring advanced surgical skills, the arthroscopic Latarjet demonstrates a manageable learning curve and shows fewer complications with increasing experience. Optimal graft fixation in the Latarjet procedure is crucial for patient outcomes as graft complications such as graft osteolysis, nonunion, and fractures impact clinical results. The all-arthroscopic Latarjet procedure offers fixation methods including double-screw (SS), double-button (BB), and suture-button (SB) techniques. The overall preferred fixation method is the cannulated double-screw (SS) construct. The literature highlights excellent clinical outcomes associated with the arthroscopic technique, yet concerns persist regarding its complication rates, stemming from the procedure’s technical complexity and steep learning curve. Despite concerns about complication rates due to technical complexity and surgical time, the arthroscopic Latarjet procedure offers significant benefits, especially improved visualization. With increasing experience, complication rates and surgical time decrease.