Revision anterior cruciate ligament (ACL) reconstruction is a technically demanding procedure that requires more complex decision-making and carries a higher risk of complications than primary reconstruction. Previous tunnel position, tunnel widening, inadequate bone stock, retained implants, limited graft options, associated meniscal and chondral lesions, infection, restricted range of motion, and residual instability directly influence the complication profile of revision surgery. Therefore, complication management in revision ACL reconstruction is not limited to treating a complication after it occurs; it begins with identifying the cause of failure, recognizing patient and surgery related risk factors, and selecting an appropriate surgical strategy. Preoperative assessment should include exclusion of infection, restoration of knee range of motion, evaluation of tunnel position and diameter preferably with computed tomography, and recognition of malalignment and associated intra-articular pathology. Intraoperative problems include tunnel overlap, inadequate bone stock, inadequate fixation, and graft impingement. Early postoperative complications include infection, hemarthrosis, and motion restriction, whereas late complications include arthrofibrosis, cyclops lesion, residual instability, and recurrent graft rupture. This review summarizes not only the treatment of complications after revision ACL reconstruction, but also their prevention and management through systematic evaluation of the cause of failure.