Multi-directional shoulder instability affects a number of overhead athletes, including gymnasts, throwers, and swimmers, as well as non-athletes. Often, instability episodes are not a result of a traumatic event, however from overuse. Treatment is commonly non-operative, with intensive rehabilitation. Despite non-operative measures, instability events may continue to occur. Surgical stabilization techniques include the inferior capsular shift and capsular plication. The goals of this webinar is to 1) review the outcomes of non-operative management of MDI, 2) review the latest outcomes of surgical stabilization for MDI, and 3) review the indications for surgical stabilization in the recurrent, voluntary dislocator with MDI. Evidence for Practice Gap: A review of the literature on “multi-directional shoulder instability” yields a paucity of evidence in its management. Traditionally, the mainstay of treatment for MDI is rehabilitation, focusing on strengthening the dynamic stabilizers of the shoulder. However, a number of individuals continue to experience instability episodes. Some surgeons are reluctant to surgical stabilization, and others advocate for surgery. Learning Objectives: Learning Objective 1: Review the latest outcomes of non-operative management of MDI Learning Objective 2: Review the latest outcomes of surgical stabilization for MDI Learning Objective 3: Review the indications for surgical stabilization in the recurrent, voluntary dislocator with MDI