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Background: Achilles tendon rupture is a common injury that can significantly impair mobility and function. Surgical repair techniques, including traditional open methods and minimally invasive approaches, differ in their functional outcomes and complication rates, prompting ongoing debate over optimal management. Purpose: This study investigates the comparative effectiveness of traditional open and minimally invasive surgical techniques for Achilles tendon rupture repair. The objective is to identify which method provides superior functional recovery and fewer complications, guiding evidence-based clinical decisions. Methods: An evidence-based clinical review (EBCR) study design was conducted where specific search terms were used across several databases and specific criteria applied. Inclusion criteria included adults aged 18-80 with acute Achilles tendon ruptures treated surgically. Functional outcomes were assessed using AOFAS and ATRS scores, while complications such as infection, sural nerve injury, and re-rupture rates were evaluated. Three researchers implemented review and selection procedures to find the highest level and quality of evidence. Data extraction and qualitative analysis followed a standardized protocol. The final studies included were 3 high quality studies, encompassing 2 systematic reviews and 1 retrospective cohort study. Results: Minimally invasive techniques, including mini-open and percutaneous repairs, demonstrated functional outcomes that were often comparable or superior to open repair, with some studies reporting higher AOFAS and ATRS scores and reduced stiffness. However, this research does not provide sufficient evidence to definitively favor minimally invasive or miniopen techniques over open repair, as outcomes varied across studies. Minimally invasive surgery (MIS) approaches were associated with significantly lower wound infection rates but a higher incidence of transient sural nerve injuries. Among these, mini-open repair showed the lowest overall complication rates. v Conclusion: Minimally invasive approaches to Achilles tendon repair, particularly mini-open and percutaneous techniques, offer significant benefits in reducing complications and accelerating recovery timelines. These findings support their increased use in clinical practice, though longterm studies are needed to further validate their efficacy and safety