Perets I, et al. - In patients ≥50 years old undergoing hip arthroscopy to treat labral tears and femoroacetabular impingement (FAI), experts presented minimum 5-year outcomes and risk factors for conversion to total hip arthroplasty (THA). Statistically significant patient-reported outcome (PRO) improvements at minimum 5-year follow-up were demonstrated by the hip arthroscopy for the treatment of labral tears and FAI in patients ≥50 years old. Nonetheless, surgeons should use rigorous selection criteria and counsel patients appropriately due to potential for subsequent need for THA in a subset of this population.