Achilles repair or reconstruction following a rupture or any kind of trauma is usually performed under general anaesthetic. The surgeon makes an incision (cut) in the back of the leg just above the ankle. Then, locate the damaged tendon and bring the ends together using stitches. If the damage warrants, the surgeon may need to reinforce the tendon with a graft from another tendon in the body. Finally, closing the wound using stitches or staples and apply a temporary cast.