An arthroscopic bone tunneling and suturing device including a bone engaging needle driving assembly including a bone engaging needle and being adapted for arthroscopic insertion into engagement with a patient s bone at a first bone location through an arthroscopic incision and for driving the needle forwardly along a generally arcuate tunneling path through the bone at least to a second bone location and a bone engaging pin driving assembly arranged for operative engagement with the bone engaging needle driving assembly and being adapted for arthroscopic insertion into engagement with a patient s bone at a third bone location through the arthroscopic incision.