OBJECTIVE: To review recent advancements in cranial cruciate ligament disease (CCLD) in dogs, focusing on diagnostic innovations and treatment options. STUDY DESIGN: Literature review. ANIMALS OR SAMPLE POPULATION: Not applicable. METHODS: Analysis of current literature on diagnostic tools and treatment techniques for CCLD, with emphasis on recent trends and advancements. RESULTS: Enhanced diagnostic tools, such as Computed Tomography (CT), offer detailed anatomical insights, improving the accuracy of CCLD assessments. Treatment approaches include extra-articular techniques like lateral fabellar suture stabilization, intra-articular methods with natural and synthetic implants, and advanced surgical procedures such as Tibial Plateau Leveling Osteotomy (TPLO), Tibial Tuberosity Advancement (TTA), and arthroscopy. Recent trends favor combining techniques, such as TPLO with lateral fabellar sutures or arthroscopy with TPLO, to optimize outcomes. Intra-articular techniques, while promising, may face challenges related to graft choice and tunnel placement. CONCLUSIONS: A multifaceted approach integrating advanced diagnostics and tailored treatments enhances patient outcomes for CCLD. Ongoing advancements in both diagnostic and therapeutic strategies are crucial for effective management. CLINICAL SIGNIFICANCE/IMPACT: This review highlights recent advancements and research in diagnostic and therapeutic strategies for CCLD, providing valuable insights for veterinary surgeons and researchers. The integration of these advanced approaches is essential for improving clinical outcomes in canine CCLD management.