To clarify the outcomes of Non-Operative vs. Operative Management of SLAP tear in athletic. Data Sources: Medline databases (PubMed, Medscape, Science Direct. EMF-Portal, google scholar). All materials available in the Internet from 2017 to 2024. Study Selection: The search results of the articles were screened by title and abstract then by full-text. The eligible full text articles were downloaded to be utilized in further analytics procedures. Inclusion criteria were articles on outcomes of Non-Operative vs. Operative Management of SLAP tear in athletic. Data Extraction: If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, adequate information and defined assessment measures. Data Synthesis: Comparisons were made by structured review with the results tabulated. Findings: In total 8 potentially relevant publications were included, there was better outcomes regarding improvement of shoulder function, pain reduction, return to sport and return to work in operation management in SLAP cases. Conclusion: The operative treatment of SLAP is associated with better outcomes regarding improvement of shoulder function, pain reduction, return to sport and return to work on the other hand range of motion and patient satisfaction was comparable between operation and non- operation management