Shoulder reconstruction is a complex and often difficult procedure. New techniques are constantly being developed and created to optimise patient outcomes. The Royal North Shore Hospital in partnership with Mathys & Smith & Nephew hosted the 10th Annual RNS Shoulder Symposium. This highly successful two-day symposium provides an opportunity for surgeons performing arthroscopy & arthroplasty to learn from leading, innovative international and local surgeons (Australia and New Zealand). The organising committee included Professor David Sonnabend, Dr Benjamin Cass and Dr Allan Young — all active members of the Sydney Shoulder Research Group.