Shoulder surgery for rotator cuff problems usually involves one or more of the following procedures: debridement, subacromial decompression, and rotator cuff repair.

Debridement clears damaged tissue out of the shoulder joint.

Subacromial decompression involves shaving bone or removing spurs underneath the tip of the shoulder blade (acromion). This creates more room in the space between the end of the shoulder blade and the upper arm bone so that the rotator cuff tendon is not pinched and can glide smoothly.

If the rotator cuff tendon is torn, it is sewn together and reattached to the top of the upper arm bone.