This clinical overview outlines the current state of hip arthroscopy by examining surgical indications, patient outcomes, and the limitations of the procedure. The source highlights the importance of proper patient selection, specifically warning that individuals with significant joint space narrowing or borderline dysplasia face a higher risk of surgical failure. It synthesizes evidence from landmark trials to compare femoroacetabular impingement (FAI) surgery against physiotherapy while evaluating modern techniques like labral repair and capsular closure. Practitioners are encouraged to prioritize accurate diagnosis to avoid overlooking extra-articular pain sources that lead to poor results. Ultimately, the tex ...