**5. Conclusion**

Despite the fact that an increasingly greater proportion of TMD is being managed conservatively and minimally invasively, there remains a place for surgical procedures in refractory cases. There is evidence in the literature to suggest meniscopexy is an effective procedure in the management of some instances of TMD, however high-level evidence is lacking. Outcome variables between papers varied, making comparison difficult. In addition, it is apparent that many other techniques are available at a surgeon's disposal, many of which may be more effective than attempts to reposition the disc. Therefore, case selection is vital when deciding to

use meniscopexy as a primary means of management, something which is currently largely based on clinical experience. More research into the pathological processes underlying TMD is required to allow surgeons to make more justified and informed decisions on appropriate means of management for each individual case.
