Lateral epicondylitis, a common tendonopathy, can be observed or treated in multiple ways using varied modalities, according to the literature. The central question is: what works, what doesn't, and does anything change the course of the disease? In a debate format, we will discuss the evidence for and against various treatments including expectant observation, platelet-rich plasma and steroid injections, denervation, arthroscopic debridement, and open surgical release.