Open Surgery: Some operations can only be carried out through "open" incisions as it is not possible to perform them arthroscopically. Examples of such operations are a shoulder replacement or the Latarjet stabilization operation. Every effort is made to reduce the scarring. Achieving maximum function with minimal pain is the aim of surgery. The osteo-arthritic symptoms: Shoulder joint becomes painful with limited range of motion and night pain can be an important feature. A “grating” feeling may be experienced in the joint and this may even be audible. A feeling of catching or slipping may also be felt due to the rough surfaces moving over each other.