The presence of preoperative osteoarthritis is the biggest predictor of failed survivorship after hip arthroscopy. Preservation of labral function via repair seems to have a positive effect on survivorship. Failure to treat underlying femoroacetabular impingement may have negatively impacted the survivorship data of early hip arthroscopy. Improved chondral evaluation is needed to identify underlying lesions that may lead to poor survivorship not identifiable by conventional radiographs and magnetic resonance imaging. Gender and age do not seem to independently affect survivorship after hip arthroscopy. Symptoms persisting greater than 1 year before surgery resulted in poorer outcomes.