Patellar tendon surgery (tendonectomy or transplantation) is considered when there is no response to conservative treatment for 3 to 6 months or more. However, since rehabilitation requires 6 to 12 months even after surgery and there is a risk of surgical complications (infection, tendon weakening, re-rupture), it is recommended to sufficiently attempt conservative methods whenever possible. With the advancement of interventional non-surgical treatments such as moxibustion, extracorporeal shockwave therapy, and PRP, the indications for surgery are gradually narrowing. From the perspective of a Korean medicine clinic, surgery is a treatment that expels pathogenic energy, and recovery after surgery is rapid only when vital energy is sufficient. Conversely, if surgery is performed while vital energy is weak, recovery is slow and aftereffects are likely to remain. At Dongjedang, we attempt conservative recovery as much as possible by intensively applying moxibustion, thread embedding, and pharmacopuncture before deciding on surgery; even if surgery is unavoidable, we optimize tissue condition through pre- and post-operative Korean medicine treatments.