Hip arthroscopic surgery was once limited to diagnostic arthroscopy, chondroplasty, microfracture, and labral debridement. This procedure evolved to include more widespread use of femoral and osteochondroplasty, as well as labral repair. Currently, as technology and techniques continue to advance, the indications for arthroscopy are expanding to include labral reconstructions for irreparable labrum, capsular closure and plication for micro-instability, cartilage transplants or biologic supplementation for chondral lesions, and new approaches for extra-articular hip pathologies. This rapid expansion highlights the need to monitor outcomes and regularly assess the efficacy of surgical intervention. The existing literature on outcomes following treatment for femoroacetabular impingement surgery and labral repair is substantial. Recently published long-term outcomes are encouraging, with most 10-year survival rates ranging between 70% and 90%, accompanied by favorable patient-reported outcomes. Outcomes after labral repair, and more recently labral reconstructions, also appear promising in the longer term. However, borderline hip dysplasia and micro-instability continue to be risk factors for less favorable prognoses, and research is ongoing to improve outcomes. Most other indications and pathologies show promising short- and mid-term results; nonetheless, more robust data is needed for widespread use and acceptance. Careful patient selection remains critical as indications are being progressively refined.