This chapter discusses the current management strategies for avascular necrosis of the femoral head, highlighting the significance of early diagnosis and tailored treatment approaches based on the lesion’s size, location, and stage. Conservative management is effective for small, non-weight-bearing lesions in types A and B, while types C-1 and C-2 necessitate surgical intervention to prevent femoral head collapse. The efficacy of pharmacological treatments, including bisphosphonates, remains inconclusive. Surgical options, such as core decompression, stem cell therapy, and vascularized bone grafting, are explored, alongside intertrochanteric osteotomy and total hip arthroplasty (THA) for advanced cases. The chapter underscores the need for ongoing research into the pathogenesis of avascular necrosis of the femoral head, as well as early detection, and innovative treatments to optimize outcomes, particularly in younger patients facing hip degeneration.