Background The incidence of ulnar collateral ligament (UCL) injuries in throwing athletes continues to rise. Similarly, UCL reconstruction is being performed with increasing frequency and more often in a younger population. Previously, results of UCL reconstruction have been superior to those of UCL repair. Recent advances in surgical techniques and implants have introduced UCL repair with suture tape augmentation as a surgical option for patients with viable tissue. This technique eliminates donor site morbidity and offers results similar to those of UCL reconstruction with the potential for earlier return to play for the amateur athlete. Purpose This video overview and case presentation demonstrates UCL repair with suture tape augmentation and flexor pronator repair for restoration of function and return to play after experiencing a UCL tear. Methods The anatomy of, examination of, diagnosis of, and treatment options for UCL tears are reviewed. A case of a 49-year-old man with a symptomatic UCL tear and flexor pronator origin tear is presented. He sustained this injury while playing handball, and it prevented him from continued play. After failure of nonsurgical treatment and a thorough discussion of risks, benefits, and prognosis, the patient elected to proceed with UCL repair with suture tape augmentation and flexor pronator repair to improve his functional status. Results Valgus laxity was restored intraoperatively. Postoperative clinical evaluation showed good restoration of range of motion and stability. The patient was able to return to sport within 5 months after surgery. Conclusion Ulnar collateral ligament repair with suture tape augmentation is a viable surgical option for symptomatic UCL tears in amateur athletes in whom nonsurgical treatment has failed. This treatment can offer functional results similar to those of UCL reconstruction with less surgical morbidity and the potential for faster return to play. Appropriate patient selection and adherence to postoperative rehabilitation are crucial for optimal outcomes.