Six randomized controlled trials comparing single- and double-row rotator cuff repairs were included in this meta-analysis. The primary outcome of interest was recurrence and the secondary outcomes were functional scores: American Shoulder and Elbow Surgeons shoulder score, the Constant shoulder score, and the University of California, Los Angeles score. Pooled findings suggested significantly decreased incidence of recurrence with the double-row technique, particularly in partial-thickness re-tears. No differences between groups were observed for any of the functional outcome measures of interest.