Introduction and Methods The glenohumeral joint, the most mobile in the human body, reflects the arboreal origins of our ancestors. This remarkable mobility comes at the expense of stability, making anterior shoulder dislocation a persistent challenge since the evolution of bipedalism. Over time, increasingly sophisticated techniques have emerged, reflecting advances in anatomical understanding, surgical methods, and equipment. Modern approaches encompass arthroscopic surgery, arthroplasty, and connective tissue repair. This project summarises key milestones in the treatment of shoulder dislocation and anterior instability. A systematic literature search was conducted across multiple databases, with seven articles selected to construct a timeline of advancements. Results and Conclusions Shoulder reduction techniques date back to the 30th century BCE in ancient Egypt, with a depiction in the tomb of Ipuy (13th century BCE) now serving as the emblem of the Egyptian Orthopaedic Association. Hippocrates (~400 BCE) provided the first detailed accounts of reduction methods, later expanded upon by figures like Celsus, Galenus, and Paul of Aegina. The advent of anaesthesia in the 19th century modernised invasive stabilization techniques, while characteristic anatomical lesions, such as those described by Hill-Sachs and Bankart, were formally recognized. Since the 20th century, surgical procedures addressing instability have proliferated, targeting the capsule, cuff, glenoid, and humeral head. The Bankart and Latarjet techniques stand out, continuously refined toward minimally invasive approaches. Despite these advancements, emergency shoulder reduction today often relies on methods first described over two millennia ago.