Lesions of the long head of biceps tendon (LHBT) are commonly associated with complex pathology of the glenohumeral joint, contributing to anterior shoulder pain and forward flexion dysfunction. The degree of those lesions may vary from tendinitis and delamination to subluxation or dislocation over the medial rim of the bicipital groove and even to joint entrapment because of hypertrophy or hourglass deformity. Additionally, advances in arthroscopic surgery improved accurate diagnosis and management of superior labral anterior-posterior (SLAP) lesions and newer biomechanical studies assisted in understanding the pathogenesis and their effect on normal shoulder kinematics. Depending on the pathology, the lesions of the long head of biceps tendon can be addressed by either nonoperative treatment, or reconstructive/repair techniques, or tenotomy/tenodesis procedures. Recent outcomes have shown acceptable rate of return to sports or work with all-arthroscopic and open techniques.