The exponential rise in the diagnosis of intra-articular hip pathologies and the ability to treat them arthroscopically has led to a corresponding rise in the number of procedures performed annually including labral repair procedures. Despite reliable pain relief and functional improvements after labral repair, failure rates of 4–6% have been reported. Most common post-surgical complaints include refractory pain, stiffness, and decreased range of motion (ROM). Reasons for failure are multifactorial and include unrecognized or residual femoroacetabular impingement, osteoarthritis, dysplasia, and instability, postoperative adhesions, ectopic ossification, and iatrogenic failures. Detailed history, meticulous physical examination and multimodal imaging will often reveal the reason for failure. Revision surgery is often indicated to correct the underlying pathology.