In this episode of the American Shoulder and Elbow Surgeons Podcast, hosts Dr. Peter Chalmers and Dr. Rachel Frank conduct a point-counterpoint discussion of treatment options for the massive irreparable rotator cuff tear. Guests include Dr. Surena Namdari on arthroscopic-assisted lower trapezius transfer, Dr. Robert Hartzler on superior capsular reconstruction, and Dr. James Gregory on outpatient reverse total shoulder arthroplasty.