Osteochondral lesions of the talus (OLTs) are a common pathology seen in the foot and ankle in athletes and are often associated with sports-related injuries. When conservative treatments fail, operative treatment can provide pain relief. For larger lesions, hemitalus allograft transplantation has demonstrated good results. The purpose of this video is to educate surgeons on the indications and surgical technique of the hemitalus allograft transplantation for OLTs. This video describes a clinical case for which this technique was used. This video provides an overview of the hemitalus allograft transplantation technique for recurrent, large OLTs. Hemitalus allograft transplantation can be an effective surgical option in patients with large OLTs with good prospective results and improvements in patient outcome scores. Hemitalus allograft transplantation is a safe and effective treatment in patients with large osteochondral lesions of the talus. The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.