The periacetabular osteotomy (PAO) has traditionally been viewed as a large operation with significant morbidity. However, as the technique has been refined over the years and more studies have shown its efficacy, it has gained more acceptance. Multiple studies have shown a high return-to-sport rate in athletes undergoing a PAO. As the literature has shown a high rate of concomitant intra-articular pathology, a combination of hip arthroscopy and PAO has been increasingly used. We believe the PAO-with a return-to-sport rate comparable to hip arthroscopy alone-will continue to gain acceptance. The PAO is here to stay and should not be feared.
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