The biceps tendon has long been claimed as a cause of refractory shoulder pain. Biceps tendon disorders include tendinitis, tendon instability, and tendon ruptures. Diagnosis depends on thorough clinical examination and investigations the most important of which are the MRI and diagnostic arthroscopy. Conservative management is the primary line of treatment, however, operative treatment is indicated when conservative management fails and in cases of acute tendon ruptures in active patients. For long operative treatment has been through open surgery, however, later arthroscopic management was introduced. Arthroscopic management includes arthroscopic debridement, tenotomy, tenodesis, and transfer to the conjoint tendon. The use of arthroscopy has many advantages including that it is more cosmetic, less traumatizing, allows easier rehabilitation, and decreased postoperative stiffness.