Reconstruction of the greater trochanter (GT) during revision total hip arthroplasty (rTHA) is challenging. With the adjacent musculature providing strong deforming forces, often in addition to inadequate vascularization and bone stock, GT reconstruction has historically been fraught with high rates of nonunion, hardware failure, and reoperation. There are many reconstruction techniques currently available including wires, cables, sutures, grip plates, claw plates, and locking plates. However, there is no consensus regarding the optimal reconstruction technique. With an increasing incidence of rTHA, strategies to address GT reconstruction are becoming increasingly important in the setting of periprosthetic femur fracture (PFF) and trochanteric osteotomy. This chapter will review current GT reconstruction techniques as well as their relevant clinical and radiographic outcomes.