This case involves a healthy 67-year-old pseudophakic male with vision loss OS for >1 year. Examination showed a diffusely bullous total retinal detachment (RD) with horseshoe tears at 11 and 1 o'clock, but there was no view of the macula. Intraoperatively, a full-thickness macular hole (FTMH) was identified. Given the hole's large size and chronicity, a decision was made to perform an autologous retinal graft transplantation in addition to repairing the RD. The video will focus on this unique technique, which has not been previously described in a patient with concurrent RD. Postoperatively, the patient's visual acuity improved from CF @ 3' to 20/400 with closed FTMH and attached retina. A corresponding optical coherence tomography (OCT) illustrates integration of the graft into the surrounding macula.