The

purpose of this study was to determine the atti-tude of the members of the Flemish Elbow and Shoulder Surgeons Society (FLESSS) towards full-thickness tears of the rotator cuff and their treatment in their daily practice. A survey form was sent to 123 shoulder surgeons between January and March 2008. Seventy-three responses were returned, a 60 % response rate. For 40 % of the respondents, arthro-CT was the gold stan-dard diagnostic method for assessment, 36 % pre-ferred arthro-MRI. Arthroscopic, mini-open and open cuff repair were preferred by 64%, 19 % and 16 % of the responders respectively. Fewer years in practice, a higher volume of shoulder operations and a higher volume of rotator cuff repairs were signifi-cantly correlated with a higher percentage of arthro-scopic repairs (p 0.001). With respect to the type of fixation, 91 % preferred screw-type anchors, and of these 81 % were metal anchors. Our results show that all-arthroscopic techniques are becoming the gold standard for the repair of full-thickness tears of the rotator cuff in Flanders