Hip Arthroscopy
Hip arthroscopy uses a small camera inserted into the hip joint to both diagnose and fix problems - labral tears, femoroacetabular impingement (FAI), loose bodies, cartilage damage. The procedure keeps the natural joint intact and works best in younger patients before arthritis takes hold. It has grown considerably over the past decade as surgeons look for ways to preserve hips rather than replace them.
Find a SurgeonWhat is Hip Arthroscopy?
Hip arthroscopy uses a small camera inserted into the hip joint to both diagnose and fix problems - labral tears, femoroacetabular impingement (FAI), loose bodies, cartilage damage. The procedure keeps the natural joint intact and works best in younger patients before arthritis takes hold. It has grown considerably over the past decade as surgeons look for ways to preserve hips rather than replace them.
Typical cost: $15,000 - $35,000 (before insurance). Coverage varies - requires pre-authorization at most insurers.
Last reviewed June 5, 2026 by AdvOrtho Editorial Team
Informational, not medical advice
Who Needs Hip Arthroscopy?
The procedure is most appropriate for patients with labral tears, FAI (cam or pincer type), synovitis, loose bodies, or hip flexor tendon problems. Outcomes are best under age 40-50 with no meaningful arthritis. An MRI arthrogram is usually needed to confirm the diagnosis before scheduling surgery.
What to Expect
Recovery Timeline
Crutches for protection. Continuous passive motion machine may be used. Gentle range-of-motion exercises.
Progressive weight bearing. Physical therapy focused on hip abductor and core strengthening.
Full weight bearing without crutches. Swimming and stationary cycling.
Running program begins. Sport-specific drills for athletes.
Return to full sport and unrestricted activity for most patients.
Risks & Complications
- Labral re-tear (10-15%)
- Nerve injury (lateral femoral cutaneous nerve) from traction
- Avascular necrosis of the femoral head (rare)
- Infection (less than 0.5%)
- Progression to hip replacement if arthritis is present
Frequently Asked Questions
Who is a good candidate for hip arthroscopy?
Active patients under 40-50 with no significant arthritis get the best results. Typical candidates have labral tears, cam deformities, or early cartilage damage that hasn't responded to physical therapy and injections.
How long until I can return to sports after hip arthroscopy?
Labral repair with bone reshaping usually means 5-6 months before full return to sport. Simple loose body removal is much faster - often 6-8 weeks. Either way, a structured rehab program makes a real difference in the outcome.
Can hip arthroscopy prevent the need for hip replacement?
In the right patients, caught early enough, yes. Patients with pre-existing arthritis have less predictable results and may still end up needing replacement down the road. It works best as early intervention, not a last resort.
Find a surgeon for Hip Arthroscopy
Compare orthopedic surgeons who perform this procedure.
Search surgeonsEstimated Cost
$15,000 - $35,000 (before insurance). Coverage varies - requires pre-authorization at most insurers.
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This information is for educational purposes only. Costs are estimates and vary by location, surgeon, and insurance. Always consult a qualified healthcare provider.