Prone six exercises and other protocols are often appropriate and useful for overhead athletes, post-surgical shoulder patients, and individuals with shoulder instability. However, often these exercises are over or even MIS-prescribed in certain cases and there is less emphasis on the clinical judgement. We discuss why these exercises may not be appropriate in specific patient cases and the importance of expanding or tailoring a protocol. Finally, how can you add varying stimuli, stances, and equipment to provide a SPECIFIC, individualized program for the patient or client in front of you!