Patients who experience shoulder instability usually develop shoulder osteoarthritis (OA), regardless of whether they undergo surgical treatment. This condition, called “Dislocation Arthropathy,” is commonly seen, but the literature lacks information about how it may be prevented. Early anatomy repair to its natural state in every joint always seems to be the best approach to avoiding progressive joint deterioration. Therefore, anatomic labrum repair treats first-time dislocation in competitive athletes. Surgical options for the unstable shoulder, such as Arthroscopic Bankart Repair (ABR), Remplissage, free bone blocks, and the Latarjet technique, improve joint stability and decrease recurrent dislocations but do not stop cartilage deterioration. Sports trauma, preoperative dislocation episodes, delayed surgery, number of anchors and knots, and postoperative shoulder stiffness are described as contributing factors to acquiring postoperative arthritis. The patients and their parents should be aware of their preoperative cartilage damage and these possible harmful outcomes after any surgical procedure. After reviewing and discussing the published data, the ISAKOS Shoulder Com consented to the best practices to prevent these devastating complications.