I would definitely give PT a try before having any surgery. I have had rotator cuff surgery on both shoulders after a car accident. I tried PT for quite awhile before it became apparent the injuries were too much. It’s a long recovery and I am glad I have functional shoulders now, but they will never be quite the same as your own. My 47 year old daughter had a partial tear and has had great success with PT only. I would recommend trying PT first - the surgery option will always be there.