This is a Storify of a discussion that a number of healthcare professionals had about the treatment of a SLAP lesion or labral tear in a patient. It is well recognized that many labral tears or SLAP lesions do not need surgery…. but some do. How do we make that determination? A lot of it has to do with your complaints, and the effect this is having on your quality of life. I hope this provides you with meaningful insight into how tricky decision making can be… and therefore how meaningful second opinions can be in certain situations.