This ESSKA book provides a comprehensive and up-to-date overview of surgical management for anterior shoulder instability, based on surgical techniques and clinical cases. It is aligned with past activities of ESSKA ? ESA shoulder section.   Content begins with essential knowledge on clinical assessment, imaging, and decision-making. The core chapters present both established and emerging surgical techniques. Through high-quality videos and images, the book explores arthroscopic and open procedures?from capsulolabral repair and its variations to coracoid transfer and bone-block techniques.   Each surgical approach is described by experienced authors using a clear, step-by-step format, enriched with key technical insights. Case presentations further enhance the educational value, illustrating the impact of underlying pathologies and highlighting potential complications. A dedicated section on complex and revision shoulder surgery shares expert?s strategies and best practices. This volume is valuable resource for residents, fellows, and young surgeons in training, while also offering advanced insights for experienced surgeons, including rare and challenging clinical cases.