Femoroacetabular impingement (FAI) is prevalent among elite athletes and military service members who present with hip and groin pain. Arthroscopic management of FAI has accelerated return to sport and duty. This review of the current literature examines the elevated prevalence of FAI among elite athletes and military service members, the short-term success of treatment, and the long-term outcomes. In the long term, elite athletes fared better than military service members. More research is needed to improve the quality of life in these populations, namely delaying the development of hip osteoarthritis and total hip replacement.