Both physical therapy and surgery can be effective in treating frozen shoulder (adhesive capsulitis), but the appropriate choice depends on the patient’s disease progression. Frozen shoulder is a condition characterized by thickening and tightening of the joint capsule, leading to a severely restricted range of motion. While the cause is unknown, in most cases, the condition typically self-resolves within 1 to 3 years. Physical therapy plays a critical role in managing symptoms and maintaining joint function during this period, even though it may not speed up the resolution of the condition itself. If a patient’s condition doesn’t improve over time or if their symptoms are particularly severe, surgery may be considered as a last resort. Surgery, such as arthroscopic capsular release, can be highly effective for the right candidates but is typically reserved for those who fail to reciver with conservative treatments like physical therapy. In summary, surgery and physical therapy are not typically weighed against each other. Physical therapy is the primary treatment, with surgery considered only if the condition does not resolve as expected.