The long head of the bicep tendon, the large muscle of the upper arm, can cause pain and weakness in the shoulder and upper arm region when it is partially torn or completely ruptured. The tendon attaches to the shoulder near the top of the glenoid (shoulder socket) and connects to the labrum, a specialized cartilage that adds stability to the shoulder socket. Surgical repair of the torn bicep tendon will reduce pain and restore strength to the affected arm. A bicep tenodesis can be performed open or arthroscopically, utilizing small incisions, a small camera, and specialized tools to repair and secure the torn tendon. Using a small 2-3cm incision on the inside of the arm, the free end of the tendon is sutured and secured in a tunnel drilled in the bone using a plastic screw. A bicep tenodesis is often performed in athletes, younger, and older patients alike depending on the nature of the injury. Done properly, this procedure restores full strength in the bicep and shoulder after 2-3 months. A bicep tenodesis can be performed in conjunction with other shoulder repair surgeries like a superior labrum anterior to posterior (SLAP) repair, and rotator cuff repair when the bicep tendon is inflamed, frayed, or torn.