To compare the outcomes of arthroscopic lavage with debridement and visco– supplementation of intraarticular hyaluronic acid versus arthroscopic debridement alone in early symptomatic osteoarthritis of the knee. Sample for the study include 60 patients (40 Male and 20 Female) aged >40 years. Referred to Orthopedics department, NKPSIMS and Lata Mangeshkar Hospital from central India Nagpur. The present study shows statistically significant differences in all areas of treatment of <0.05. This study concludes that combination of arthroscopic lavage with debridement and intra–articular hyaluronic acid visco–supplementation is a worthwhile procedure for providing symptomatic relief, with less operative risk and morbidity, providing significant improvement in function and quality of life over a long term, reducing the need for daily analgesics, and with a major difference with respect to expenses incurred in other procedures like arthroplasty, in management of patients with early osteoarthritis of knee joint. The above procedure is thus advisable in patients with early arthritis desiring a functional improvement of arthritic symptoms .