Depends on the severity of the tear. I had the MRI done and opted not to do the surgery. I consulted with a leading surgeon for the Dallas Cowboys and Texas Christian. I opted for rehab to strengthen the structure and it worked. I can't play softball anymore, but can still draw a 70 pound bow with no problem as I have strengthened all of the supporting muscles. Throwing a ball still hurts because of the twisting motion in your shoulder. I have learned to know how I should use the shoulder and haven't had any problems. The key is the muscle build up.