Hip disorders, especially labral tears, may present with groin pain. A detailed history and physical examination are key to help differentiate their diagnosis from other diagnoses, such as inguinal hernia. In fact, it is not uncommon for a patient to have an inguinal hernia at the same setting of a hip disorder. It is important to correctly diagnose the cause of the patient’s groin pain and to provide treatment focused on that disorder. In my practice, I often see patients who undergo elective inguinal hernia repair, with no improvement in their preoperative symptoms. Workup proves that their preoperative symptoms were indeed due to another pathology, such as a hip disorder, and their inguinal hernia was asymptomatic. A poor outcome would be to have a complication from the elective inguinal hernia repair while at the same time the patient’s main cause of preoperative pain was due to the hip disorder, thus altogether complicating the patient’s plan of care, outcome, and recovery.