Since the advent of modern hip preservation surgery in young adults, pre- and postoperative sporting activity has emerged as a topic of interest to surgeons, physical therapists, and patients. Many developments in surgical technique and rehabilitation over the last two decades in hip preservation have arisen from the general opinion of specialized surgeons that performing less invasive procedures may provide an earlier return to activities, including sports. One of the surgeon’s main tasks when deciding to offer hip preservation surgery to a patient who has seen their sports activity compromised is to clearly establish the preoperative activity level, which should be documented in clinical records. In addition, it is essential to quantify and qualify the activity level of each patient using a reliable and valid perceived function survey. Following femoroacetabular impingement and developmental dysplasia of the hip, allowing patients to return to sports in a gradual and controlled manner is reasonable. The foundational reason for subjecting patients to hip preservation surgery is to enable them to safely return to their sports of choice. To accomplish this, a multidisciplinary treatment approach is essential.