The preferred method of terminal sterilization for allografts, gamma irradiation, remains a concern to some surgeons. However, while some studies have shown high dose gamma irradiation ([3 Mrad) can have detrimental effects on the strength of allograft tissue, numerous studies have shown that the currently used controlled and low doses of gamma irradiation are effective in terminal sterilization and have no detrimental effect on allograft tissue strength. Rihn et al. (2006) determined that not only is using 25 kGy of gamma irradiation on BPTB allografts effective in preventing bacterial infection but it does not compromise the clinical effectiveness of the graft. The results are also comparable for soft tissue allografts. Balsly Cell Tissue Bank (2012 ) 13:217-223 221 et al. (2008 reported no change in graft strength for patellar tendons, anterior tibialis tendons, semitendinosus tendons, and fascia lata soft tissue grafts when low dose gamma irradiation was used to terminally sterilize at low temperatures. Greaves et al. (2008) found low dose gamma irradiation did not affect the strength or stiffness of soft tissue tibialis tendon allografts. The terminal gamma irradiation is necessary in order to provide allograft tissue with a SAL of 10 -6 which is equivalent with implantable medical devices. Low dose gamma irradiation (10-15 kGy) in combination with donor screening and tissue processing procedures allows for thorough bactericidal treatment while maintaining intrinsic biomechanical properties and ensuring successful clinical performance (Block 2006) .