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Over the past several years, hip arthroscopy has become an effective treatment option for a variety of intra-articular and extra-articular pathologies. With the rapid growth in the technical capabilities of hip arthroscopy, there has been much interest in the indications, limitations, and complications associated with the procedure. The procedure remains technically demanding and carries with it a steep surgical learning curve that may lead to heterogeneity in individual surgeon complication rates. Furthermore, with expanding indications and treatment of pathology in the peripheral compartment, peritrochanteric, and subgluteal space, it is vital to remain cognizant of all potential pitfalls that may occur throughout the entire procedure. This article reviews the complications associated with hip arthroscopy, from preoperative planning through postoperative care.