Soft tissue repairs are reliable when performed using the correct technique and for the optimal indications. However, high failure rates have been reported in soft tissue repairs over a long-term follow-up, and, in suboptimal repairs, athletes are unable to return to sports after an arthroscopic stabilization procedure. Recurrence after a soft tissue repair is multifactorial; patho-anatomic factors (hyperlaxity, glenoid osseous geometry, bone defects), variability in radiological assessment methods, and suboptimal surgical technique predispose the repair to failure. Moreover, compounding factors like age, sports, and arm dominance add to the risk for redislocation after soft tissue repair. A thorough clinical, radiological, and arthroscopic evaluation is necessary prior to formulation of the surgical plan. This chapter presents an analysis of the etiological factors and treatment strategies for revision of soft tissue repair failures in anterior shoulder instability.