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Keywords: Meniscus, Articular disc, Architecture, Derangement, Temporal fascia graft This is a detailed account of the TMJ Meniscus in health and disease, with an emphasis on normal anatomy. The meniscus is also called the articular disc or even the intraarticular disc. Normal architecture and the position of the meniscus are described here, and this should help to diagnose if the structure and position are altered. It may be noted that clicking occurs when the meniscus compressed by the condyle is decompressed, thus releasing the stored energy, but why does the normal meniscus not click? The altered position is called derangement; what are the causes of such derangement, including the iatrogenic? How can one treat such a condition? To replace the disc, the temporal fascia graft is preferable because it is locally available. However, It is difficult to state unequivocally which graft is the best and also whether interpositional arthroplasty is better than gap arthroplasty. Knowing the functions of the disc gives you an idea of what you are depriving patients of when you go for a menisectomy. My article on researchgate.net includes more details and many references. This article is under updating.