Background: The Rotator cuff is prone to injury and essential to the shoulder joint's health. The shoulder joint requires mobility, strength, and stability since it is essential for positioning the upper limb in functional postures. our research's objectives Systematic Review and Meta-Analysis of the Clinical Outcomes of Arthroscopic vs Mini-Open Rotator Cuff Repair. method: There will be a meta-analysis and a retrospective observational secondary investigation of published studies. Timeframe: 6 to 12 months after the research ethical committee's permission. results: 670 participants from six RCTs were included. The combined data showed no discernible functional difference between arthroscopic and mini open rotator cuff repair (very low quality, 4 RCTs, 495 patients, SMD 0.00, 3-month; very low quality, 4 RCTs, 495 patients, SMD 0.01, 6-month; very low quality, 3 RCTs, 462 patients, SMD 0.09, 12-month). In the extremely low quality trials (three RCTs, 254 patients, MD -0.21, 3-month; three RCTs, 254 patients, MD -0.03, 6-month; and two RCTs, 194 patients, MD -0.35, 12-month), there were no statistically significant changes in pain levels across groups.