All the ruptures of the cap are not operated! It should be noted that a cuff rupture (particularly supraspinous) is common from 50 years old but often asymptomatic.
In most cases it is more of a progressive wear of the tendon (and not a rupture), this wear is not painful but it promotes the accumulation of inflammation in the shoulder (the humeral head comes into conflict with the acromion).
Surgery (in these initially well-tolerated cases of wear) is only a last resort. On the other hand, a traumatic rupture of the rotator cuff in a young and active patient is an indication of rapid repair.
Making the difference between decompensated wear and a recent break is difficult and requires experience …