Patients with hip dysplasia have a higher incidence of acetabular labral tears and hip instability, predisposing them to osteoarthritis. Except for borderline hip dysplasia, hip arthroscopic labral preservation is not a generally accepted treatment for these underlying issues. An open surgical approach such as periacetabular osteotomy is commonly used for hip dysplasia. In fact, many high-demand athletes, especially hypermobile athletes, elect against a traditional open approach because it requires longer recovery times and has cosmetic issues. Hence, we devised a new strategy that is less invasive and can concurrently address capsular, labral, and bony pathologies arthroscopically. The purpose of this book chapter is to review the literature for treating patients with hip dysplasia.