To assess the outcome of arthroscopic anterior cruciate ligament (ACL) reconstruction with quadruple hamstring tendon graft using all press-fit technique with bone plugs near the native insertion of the ACL. This prospective study included 50 consecutive active patients. There were 47 males and 3 females. The mean age was 30 years (range 17–44). The mean follow-up was 24 months (range 12–48). Patients were evaluated using subjective as well as objective International Knee Documentation Committee (IKDC) assessment forms, Tegner Lysholm knee score. Instrumental testing included digital rolimeter as well as the KT-1000 testing. Assessment using IKDC scoring revealed that 95 % of the patients had normal or nearly normal knee (IKDC score of A/B). Postoperative level of activity was excellent in 82 % of patients. The mean side-to-side difference using the digital rolimeter measurements was 1.3 mm (range 0.1–5.5 mm). The mean side-to-side difference using the KT 1000 measurements was 1.4 mm (range 0–5 mm). On pivot shift test, we have 97 % of our patients with either equal pivot shift tests on both sides or just a glide. The mean preoperative Tegner Lysholm score was 52 (41–90) while the mean postoperative score was 92 (range 67–100). We found no graft displacement on follow-up radiographs. This study showed that arthroscopic ACL reconstruction with quadruple hamstring tendon graft using all press-fit technique with bone plugs is a reliable, cost-effective technique with fast bone-to-bone healing, and ease for revision surgery.