Loose bodies in the knee are usually a result of trauma to the knee. They may be a result of a synovial pathology. Locking is one of the most dramatic presentations of a loose body. In some cases, the loose body might momentarily get trapped within the medial or the lateral compartment of the knee and spontaneously move away to the gutter area. One of the most classical symptoms is that of “something moving within the joint”. Bony loose bodies are best seen on plain X-rays. There are two important aspects to approaching a patient with loose bodies in the knee i.e. excision of the loose body itself and Treatment of the site of origin of the loose body. Arthroscopy is the most accepted means of tackling a case of loose bodies. Not only does it permit easy removal of loose bodies, but it also allows a detailed evaluation of the anterior as well as the posterior compartments of the knee joint with minimum morbidity. A variety of graspers and motorized shaver systems are necessary during the arthroscopy.