International literature has always shown more interest in the surgical treatment of the rotator cuff tear rather than in the medical or physiotherapy ones. However, the orthopedic surgeon should be able to propose, among the various treatment options, also the conservative treatment, as many tears can become asymptomatic over time. In addition, many patients with cuff tears are in their seventies and often carriers of chronic diseases that contraindicate surgery except for treatments closely related to patient survival.