The hip labrum is important for joint stability and kinematics and has nerve endings facilitating proprioception and pain. Treating the damaged labrum is essential due to the established correlation between labral damage and the development of osteoarthritis. Labral repair has yielded superior outcomes to debridement, and therefore, it is the first-line approach to repair the labrum. However, in certain cases the labrum may be irreparable, due to extensive tearing, calcification of its substance or previous labral insufficiency after previous surgery. In these cases, labral reconstruction may offer a means of restoring the anatomy and function of the native labrum.