Gluteal tendinopathy is the most common lower limb tendinopathy. It presents with varying grades of severity but may cause debilitating lateral hip pain. This condition is prevalent in post-menopausal women and can have negative influence on quality of life. It results from a combination of compressive and tensile loads at the insertion site on the greater trochanter of gluteus medius and gluteus minimus tendons. Clinical symptoms are often non-specific and clinical tests are not very reliable. The gold standard to make the diagnosis is magnetic resonance imaging, that provides information on tendon quality and integrity, muscle atrophy and fatty infiltration, greater trochanter bursa and possible soft tissue or bone edema. The treatment algorithm depends on the severity of the pathology, that can vary from simple tendinopathy to full-thickness tears. A first conservative approach should always be attempted if the tendon is not interrupted, whereas surgical treatment is reserved to recalcitrant tendinopathies.