Tearing of the pectoralis major, the large chest muscle, typically occurs an at the intersection of the muscle and the tendon that attaches it to the humerus (upper arm bone). Surgical repair is the best treatment option for full ruptures and studies have revealed that surgical outcomes are superior to nonoperative outcomes in terms of function, strength, and overall appearance after an injury. During surgery, the ruptured tendon head is located, and the muscle and tendon are cleared of any connective tissue that may have formed from the inflammation in response to the injury. The head of the tendon is strengthened with several sutures and the attachment site of the tendon on the humerus (upper arm bone) is prepared for optimal healing after reattachment. Then, specialized suture anchors and fortified sutures are used to secure the tendon to its attachment site on the humerus. Recovery requires around 6 weeks of immobilizing the affected arm with a sling and months of therapy to regain range of motion and strength. Athletes can expect to return to sports after 4-6 months and should ease into weightlifting focusing on lighter weights and higher repetitions.