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There is often a debate among patients and surgeons about which is better, arthroscopic or 'open' surgery. Open surgery, a procedure using larger incisions and enabling the surgeon to look inside the joint, may be better for certain procedures under certain circumstances. Arthroscopic surgery has some advantages-smaller incisions, less tissue damage-but these are usually not helpful if the overall procedure cannot be performed as well. You need to discuss with your surgeon if a particular procedure can be done arthroscopically. There are debates among orthopedic surgeons about how to best perform different types of surgery. For example, many shoulder surgeons disagree about whether or not rotator cuff repairscan be performed as well arthroscopicallyas they can open.

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