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Emphasis has been placed on the minimal average changes in patient\u2010reported outcomes between 1 and 2 years. Results of joint replacements tend to fare well with this approach, whereas for other diagnoses such as shoulder instability surgery, longer follow\u2010up is required. Where does the clinical evaluation of rotator cuff repair (RCR) fall in this continuum? Systematic reviews of RCR outcomes show small gains (below the minimal clinically important differences) between 1 and 2 years. However, these reviews obscure subgroups in which 1\u2010year follow\u2010up is not representative of final outcomes. For example, single\u2010anchor repair of a small rotator cuff tear in a low\u2010demand individual might show little clinical change between 1 and 2 years, but the same cannot be said for repair of a large, retracted tear requiring graft augmentation or for the recovery of an elite overhead athlete. In general, 1\u2010year follow\u2010up is not the last word for RCR outcomes. 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