A patient recently came in after a visit to his friend, an orthopedic surgeon, for an evaluation of his shoulder pain. The surgeon told him that his MRI showed some damaged tendons that would need surgery sooner or later, so he should get it now. He didn’t think anything else would suffice. He told the patient that the rehabilitation process would take 6 to 12 months, and radically hamper his very athletic lifestyle. The patient really didn’t want surgery, but also didn’t want to do the wrong thing. He asked what I thought.