A growing and unacceptable disparity between male and female athletes—worldwide—is the disproportionately higher numbers of serious knee injuries suffered by female athletes relative to males. The only good news associated with this reality has been the extraordinary progress made in orthopaedic surgery in repairing damaged knees. New techniques, tools and procedures represent genuine improvements in the way we respond to ruptured ACL’s. But why, from a coaching standpoint, have we failed so completely to match the progress in repairing injured knees with similar progress in preventing injuries from happening in the first place?