Arthroscopic subcoracoid decompression surgery is reserved for patients who have subcoracoid impingement that affects activities of daily living or sports activities despite adequate conservative treatment. The goal of surgery is to eliminate the shoulder pain by removing thickened and chronically inflamed bursa and the prominent bone from the underside of the coracoid to increase the space for the subscapularis tendon to move freely.

Contraindications to Surgery
- Infection of the shoulder
- Inability or unwillingness to complete the postoperative program of keeping the shoulder in a sling or immobilizer (if open) or to perform the rehabilitation necessary
