Purpose of Review <p>We aim to review current literature discussing nonoperative treatment methods and outcomes for superior labral anterior posterior (SLAP) lesions.</p> Recent Findings <p>Although in the early 2000s surgical repair of SLAP lesions up trended, there is data to suggest variable outcomes for return to work/play that has led clinicians to narrow indications for SLAP repair and to consider prolonged nonoperative measures and/or other surgical interventions given similar return to play/work outcomes in select patient populations.</p> Summary <p>SLAP lesions remain a difficult pathology to diagnose clinically and radiographically. Therefore, a holistic approach to the evaluation of the patient and a sufficient trial of nonoperative treatment to optimize mechanics and surrounding structures is imperative with current literature highlighting focus on reducing inflammation in the acute phase, correcting scapular dyskinesia, increasing periscapular and rotator cuff conditioning, and normalizing global shoulder range of motion to promote return to activity.</p>