Many treatment options have been proposed for treatment of irreparable posterosuperior rotator cuff tears.Among these options, latissimus dorsi tendon transfer can be considered a good alternative, especially in young patients before development of glenohumeral arthritic changes, aiming at rebalancing the shoulder with Stools a functioning subscapularis muscle and restoring both active external rotation and elevation with the aid of a properly functioning deltoid muscle.The technique was recently adapted from open to arthroscopically assisted with numerous advantages.We propose a combined fully arthroscopic technique for transfer of latissimus dorsi and teres Yeast Extract major in which the tendons are fixed in a flat manner at the junction of supraspinatus and infraspinatus to decrease failure rate.