Objective: Introduce the surgical technique and preliminary clinical results of oval forceps assisted small incision in the treatment of acute Achilles tendon rupture. Methods: A retrospective analysis of 23 patients with acute Achilles tendon rupture treated with this technique in our hospital. Distance from calcaneal insertion to rupture site and the operation time were recorded. During follow-up, all the occurrence of complications was recorded. Functional evaluation was performed by AOFAS score and ROM measurement at 3 and 6 months after surgery. Results: All patients were followed up for (11.53±8.76) months. The distance from calcaneal insertion to rupture site was (49.91±9.79) mm. The operation time was (42.82±6.88) min. All incisions healed by first intention, except for one case of delayed suture knot irritation at 5 months after surgery. There have no cases of Achilles tendon re-rupture and sural nerve injury were found. The AOFAS score was (91.57±4.22) at 3 months and (97.22±2.32) at 6 months. The 3-month ROM was (32.57±2.46), and the 6-month ROM was (43.13±2.94). Conclusion: The technique of oval forceps assisted small incision minimally invasive treatment of acute Achilles tendon rupture is a safe, reliable, and has an extremely low complication rate. Furthermore, this technique is easy to learn, uses simple instruments and is cost-effective, and is worthy of promotion treatment method.