 The procedure was first modified by Bigliani et all in 1996.The change was transferring the rhomboid minor to the supraspinatous fossa to allow the rhomboid minor to better replicate line of pull of the middle trapezius.The triple tendon transfer (T3 transfer) was described by Elhassan et all at the Mayo Clinic in 2015, and since 2010 no other technique for intractable trapezius palsy has been used there.