Hip disorders are increasingly common in pediatric and adolescent athletes, being both idiopathic problems aggravated by sports and overuse injuries caused by sports. These disorders are a major cause of morbidity and their long-term consequences carry into adulthood. In the past these problems have been primarily treated with open surgery using a surgical hip dislocation, but due to improved instruments and techniques, hip arthroscopy is becoming a mainstay in their treatment. Arthroscopic management allows assessment and reconstructive treatment of most problems in practically all parts of the hip.