The acetabular labrum plays a critical role in maintaining hip joint stability, biomechanics, and fluid pressurization, but it is susceptible to a range of pathologies, including tears, degeneration, and insufficiency. These conditions often arise from trauma, femoroacetabular impingement, developmental dysplasia, and osteoarthritis, presenting a complex challenge in diagnosis and treatment. This entry reviews the labrum’s anatomy, vascular supply, and biomechanics, emphasizing the structural and functional implications of labral pathologies. It explores diagnostic approaches, including imaging and physical examinations, alongside a spectrum of therapeutic options ranging from conservative management to advanced surgical interventions such as repair, reconstruction, and augmentation. Current advancements in surgical techniques are discussed, with attention to their efficacy in restoring labral function and improving clinical outcomes. Emerging strategies in prevention, rehabilitation, and return-to-sport protocols are also highlighted, underscoring the importance of tailored, patient-centered care. Through a comprehensive analysis of labral pathology, this entry aims to guide clinicians in optimizing management strategies for improved long-term hip joint health and patient satisfaction.