This procedure uses donor tissue (most commonly human dermis) to substitute for the rotator cuff in a patient with such severe shoulder disease that the rotator cuff is not reconstructable. For some patients, the best option may be a reverse shoulder replacement. In young patients, the superior capsular reconstruction is an alternative by which donor tissue is used to reconstitute the deficiencies in the rotator cuff. This is an outpatient procedure, done arthroscopically with a similar recovery process to rotator cuff repair. Drs. Silas and Bak have extensive experience with this procedure.