Acetabular labral tears are a major cause of hip dysfunction in young patients and a primary precursor to hip osteoarthritis. In addition, labral disease more commonly occurs in women and can present with nonspecific symptoms. It is possible to diagnose, quantify, and treat labral tears before the onset of secondary joint deterioration. However, the diagnosis requires a high index of suspicion, special attention to subtle patterns of presentation, and timely consideration for imaging studies. Treatment options are still evolving and include a wide array of nonsurgical and surgical techniques. Treatment should also address secondary dysfunction that can be associated with hip pathology. An initial trial of conservative management is recommended and failure to progress is an indication for surgical consultation.