I have had rotator cuff surgery a year and a half back. Surgery was my last option but as PT didn't help me recover I had to go through the surgery. I was really scared about it but my doctor at
osaliortho was the most acclaimed orthopedic surgeon long island and was very supportive and convinced me that it will be over in a blink. I have recovered well after the surgery. But if you don't want to go for surgery, first try physical therapy. If it doesn't workout then go for surgery. Although surgery has long term benefits it is seen maximum times that most patients don't need surgery.