Introduction: Hill-Sachs lesions are a cause of recurrent shoulder dislocation.Remplissage is the anchoring of the posterior capsule or infraspinatus into the defect,preventing engagement on the anterior glenoid and subsequent dislocation.This study assesses the outcome of Remplissage procedure in these patients. Methods: All patients presenting between December 2007 and May 2014 with structural instability and large Hill Sachs lesion treated with Remplissage were eligible for inclusion. A standard three arthroscopic portal approach was used.In all cases a single anchor was used to fill the defect. Clinical outcome was measured at final follow up using patient reported satisfaction,further dislocation and complications. Results: A total of 25 patients met inclusion criteria.Mean age was 29.8years.84%were male and in 48%the dominant arm was affected.In almost half,the initial mechanism of injury was contact sport related.Mean number of dislocations was 4.All patients had anterior or anterior-inferior unidirectional traumatic dislocations. There were no instances were Remplissage was used in isolation.84%were performed with a bankhart repair,8%SLAP repair and 8%combined repair.6 patients required an inferior capsular shift. Mean time to discharge was 6months.Mean time at final notes review was 3.5 years.Only 3 patients were re-referred due to further dislocation(N=2)and persistent pain(N=1). The two patients with recurrent dislocation both were manual laborers who returned to work.In one patient the Remplissage repair had pulled out – a repeat Remplissage was performed successfully.The second patient had evidence of hyperlaxity and required an open Latarjet procedure. Two complications were recorded; 1 frozen shoulder and 1 wound infection.At final follow up 96%patients reported improved symptoms. Conclusions: Remplissage should be considered in patients with recurrent shoulder dislocations and a large Hill Sachs lesion.Early results demonstrate good outcomes.