ACL injuries are a major concern in sports medicine, often leading to pain, instability, and months away from activity. With rising incidence rates—especially in younger, active patients—the question of whether surgical reconstruction truly outperforms non-surgical rehab matters more than ever. Using the OE MIND platform, the highest-quality RCT evidence was reviewed comparing ACL reconstruction with structured rehabilitation. Across six trials, the patterns were clear: while reconstruction didn’t consistently improve pain, overall knee scores, or return to preinjury activity levels, it did offer advantages in stability, and it lowered the risk of reinjury and revision. These insights, paired with market, usage, and trial-pipeline analytics, help clarify when reconstruction may offer meaningful benefit—especially for patients aiming to return to high-demand sport or work.