Li LT, Bokshan SL, DeFroda SF, et al. - This study was undertaken to investigate whether and how both annual surgeon and facility volume affect the cost and outcomes of anterior cruciate ligament reconstruction surgery and to distinguish trends in how surgeon caseload prognosticates graft selection. Researchers conducted the univariate analysis for patient demographics and surgical characteristics. They conducted multivariate analysis on significant factors to ascertain how these variables affect cost and odds of allograft usage, postoperative admission, and meniscal repair. Between January 1, 2014, and December 31, 2014, there were 7,905 cases performed after excluding same-year revisions. The results of this study demonstrate that high-volume surgeons were more likely to conduct a meniscal repair and less likely to have their patients admitted postoperatively, which was the second-largest cost driver of anterior cruciate ligament reconstruction. Especially in patients younger than the age of 18 years, they were also significantly less likely to use an allograft. It was shown that high-volume surgeons had lower costs despite greater rates of concomitant procedures.