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Diagnosis of glenohumeral chondral defects is not always straightforward and effective treatment requires familiarity with a number of techniques. Low\u2010demand individuals may accept palliative therapy in the form of arthroscopic debridement as a temporizing solution. However, younger, high\u2010demand individuals require a careful, stepwise approach that includes reparative, restorative, and reconstructive strategies. Reparative strategies use marrow\u2010stimulation techniques to induce formation of fibrocartilage. Restorative tactics attempt to replace damaged cartilage with hyaline or hyaline\u2010like tissue using osteochondral or chondrocyte transplantation. Large lesions that are not candidates for reparative or restorative procedures can be approached using reconstruction methods such as biologic resurfacing. 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