In this episode of HSS Presents, Dr. Samuel A. Taylor, M.D., a sports medicine and shoulder surgery specialist at HSS, hosts an in‐depth discussion on long head of biceps tendon injuries with his esteemed colleagues—mentor Dr. Stephen J. O'Brien, MD, MBA, Dr. James "Beamer" Carr II, and Dr. Sri Pinnamaneni, M.D. The panel delves into the complexities of diagnosing and managing pathology within the biceps–labrum complex. They share personal anecdotes and historical insights that trace the evolution of treatment. Emphasizing that no imaging study can replace a thorough physical exam, the experts detail essential maneuvers and discuss the utility of ultrasound-guided diagnostic injections to pinpoint the true pain generator. With lively debate over whether to be a “biceps lover” or a “biceps killer,” this conversation offers valuable clinical pearls and practical strategies for shoulder surgeons navigating one of the most nuanced areas in sports medicine.