Rotator cuff tear is a common problem that can seriously impair shoulder function and cause discomfort. Surgical repair may be required, nevertheless, if conservative therapies are unsuccessful. Open surgery and arthroscopic procedures have grown in popularity recently because of their favorable pain alleviation, little scarring, and improved functional outcomes. Until now there have not been many studies comparing these two interventions for populations under 60 years. The aim of the study is to compare the clinical and functional outcomes between arthroscopy and open surgery for rotator cuff repair according to recent publications. A comprehensive search for pertinent scientific papers was carried out for this study utilizing a mix of keywords like "arthroscopic surgery," "open surgery," and "rotator cuff repair" across several medical databases, including PubMed, Cochrane, and Wiley Online. There were 1723 studies found throughout the search from 2013 to 2024. After conducting separate screenings of the abstracts and reference lists and reaching a consensus on any differences, the reviewers included eight papers. By contrasting the clinical and functional gains made possible by each treatment option, the review attempted to provide an answer to the study issue. Eight trials totaling 716 individuals, 379 of whom underwent arthroscopic and 337 of whom underwent open rotator cuff surgeries. Comparably significant clinical and functional results, such as VAS score, Constant score, and range of motion (shoulder flexion and rotation), are present. Arthroscopic and open surgeries serve as equally balanced excellent options for rotator cuff repairs, providing pain relief, restoration of ROM, and improved functional outcomes.