Elite athletes, especially overhead athletes, are prone to rotator cuff pathologies due to shoulder joint overloads and repetitive mechanical stress on the rotator cuff tendons. The true prevalence of partial rotator cuff tears in athletes is higher than previously thought due to the high incidence of asymptomatic tears. Today, thanks to advances in shoulder biomechanics and advanced imaging methods, the level of knowledge about these pathologies has increased. For many athletes, conservative treatment is the first approach in the treatment of partial rotator cuff tears and is often sufficient. In cases where non-surgical treatment fails, surgical treatment may be necessary to relieve symptoms and return to sports. Surgical arthroscopic debridement or arthroscopic repair options are available. However, it should be known that surgical treatment may have worse results compared to the normal population due to high expectations in athletes. Athletes, especially overhead athletes, should be warned before the treatment that the rate of returning to sports may be low after surgical treatment and the level of sportive activity may be low after treatment.