Rotator cuff tears are a common source of shoulder pain. The incidence of rotator cuff damage increases with age and is most frequently due to degeneration of the tendon, rather than injury from sports or trauma. The decision on how to treat rotator cuff tears is based on the patient's severity of symptoms and functional requirements, and presence of other illnesses that may complicate treatment. There is a divided opinion when it comes to patients having established rotator cuff tears with co-morbidities like hypertension, diabetes, epilepsy, etc. as regards to the treatment. Some doctors advocate to leave such patients alone due to the risk involved, longer healing time and poor patient compliance. Some are aggressive and advocate a surgical tactic. We are of the opinion that such patients must be operated. This task is not without challenges. The patient needs good intensivists, and motivation for good post op rehabilitation. This study is done to see whether in such patients with co-morbidities a surgical repair is worthwhile or whether it is better to leave such patients alone in order to give them a better quality of life.