A rotator cuff tear is an injury to the group of muscles and tendons that stabilize the shoulder, often caused by repetitive overhead activities, trauma, or age-related degeneration. Symptoms include persistent shoulder pain, weakness, difficulty lifting or rotating the arm, and sometimes a popping or clicking sensation. While physical therapy and conservative management can help minor tears, surgery becomes necessary for large or full-thickness tears that significantly impair function or fail to improve with non-surgical treatment. Arthroscopic rotator cuff repair involves small incisions through which a camera and specialized instruments are used to reattach the torn tendon to the bone, offering a minimally invasive approach. Choosing an orthopedic surgeon specializing in shoulder injuries at a hospital with a strong physical therapy program is crucial, as post-operative rehab is essential for regaining strength, flexibility, and function. Costs vary by hospital and procedure, typically ranging from ₹1,50,000 to ₹4,00,000 in India. Long-term recovery requires adherence to a strict rehabilitation protocol over several months, gradually progressing from passive range-of-motion exercises to strengthening and functional activities.