Inverse kinematic alignment (iKA) is a new, patient-specific alignment concept with excellent reported clinical outcome and patient satisfaction at short-term follow-up. iKA is a tibia-first gap-balancing technique that restores the native tibial joint line obliquity. Within boundaries, equal medial and lateral tibial resections are performed, compensating for cartilage and bone loss. Both in the coronal plane and axial plane, iKA might offer advantages over existing alignment strategies. We describe the surgical technique of iKA with the use of a robotically assisted system (Mako, Stryker, Kalamazoo, MI), showcasing a varus, neutral, and valgus-aligned knee.