There is increasing interest in arthroscopic techniques for stabilisation of unstable glenohumeral joints. Consequently, plenty of new surgical techniques are developed over the last few years. However, most of the authors just report on short term results. In the presented paper, the current indications for surgical treatment in shoulder instability are discussed. The different arthroscopic techniques are described in detail. The advantages and disadvantages in relation to the conventional open Bankart-operation are presented, and the technique related risks are discussed in detail. Considering the recent information in the literature and the personal experience, the open Bankart-procedure still serves as the golden standard.