Snapping scapulae is a term describing crepitation with pain that spreads along the medial border of scapulae. Symptoms and signs include crepitation beneath scapulae, palpable knotted soft tissue trigger points, snapping and seizing. It is an important clinical problem affecting young patient populations, with chronic irritable pain disturbances in quality of life. Some surgical treatment procedures like musculoplasty, bursectomy, open resection of the medial and superomedial border of scapulae have been described for patients who have inadequate conservative treatment results. After Harper et al. reported their experiences with arthroscopic partial resection, scapulothoracic arthroscopy has becomes a preferred method because of its advantages and good results. Arthroscopic scapulothoracic debridement and superomedial edge resection is a safe procedure with successful outcomes for snapping scapulae patients. There are no serious complications in the hands of experienced arthroscopists, but long term follow-ups in comprehensive series are needed for evaluation.