Background and objectives: Shoulder dislocations from automobile accidents are on the rise, making shoulder instability a widespread problem among young people today. to examine the association between these clinical and radiological results and arthroscopic findings, to compare the clinical outcome of arthroscopic treatment to open repair of anterior shoulder instability, and to treat these injuries arthroscopically. The essay aims to achieve these ends. Method: This study intends to investigate 25 cases of anterior shoulder instability by clinical, radiological, and arthroscopic methods in order to compare open repair versus arthroscopic therapy of these injuries. Result: We performed diagnostic shoulder arthroscopes on 25 people who had been diagnosed with anterior shoulder instability. According to the results of the procedure, all 25 patients had Bankart's lesions, and 16 additionally had Hillsach's lesions. Although bone loss in 14 of the 16 patients with Hillsach's lesion was less than 10%, they were candidates for arthroscopic Bankart's repair. The other two patients had bone loss of 13%-15%, making them surgical ineligible. In this procedure, the coracoid process was moved to the front of the glenoid using the Tasaki method and then set in place. Conclusion: "Arthroscopic Evaluation and Management of Anterior Shoulder Instability" is the best way to assess instability because of its higher specificity and sensitivity in recognising pathology compared to an MRI, its outstanding results when fixed with suture anchor points, and its outstanding range of motion