Acromioclavicular Joint (ACJ) dislocation is a common injury. It is common among athletes involved in contact sports and victims of motor vehicle accidents. High-grade (ACJ) dislocation (Type IV-VI) is managed surgically through different procedures. These range from a simple plate and screw fixation to more complex procedures involving ligament repair, transfer and reconstruction. The rationale for an arthroscopic approach to treat a dislocated AC joint is to minimize the soft tissue injury through preserving as much blood supply as possible to support post-operative healing. Also, to decrease the risk of surgical site infections and better postoperative outcomes. On the other hand, the arthroscopic technique needs an experienced surgeon. In this case, report our aim to encourage fixing (ACJ) with this technique.