Glenoid bone loss presents a major risk for glenohumeral instability, and while most surgeons consider the Latarjet procedure as the gold standard, failures can occur with this technique. The search for alternative grafts to address glenoid bone loss is a major topic of ongoing research in the field. Of these techniques, the distal tibia allograft (DTA) has been demonstrated to provide an excellent option to restore glenoid biomechanics. The correct preparation of the DTA is essential and this video shows my preferred technique for cutting the DTA in detail, using a special workstation to optimize this procedure.  We have worked in our lab to help develop a more reproducible way to make the bone cuts for the fresh distal tibia donated bone and cartilage graft for precise implantation and sizing to the glenoid.