Twenty percent of patients at the authors' institution who required surgical intervention to treat their pain after not responding to conservative management had posterior pelvic pain in addition to groin or lateral and anterior hip pain. Of those respondents, 33% had complete resolution of symptoms at 4.75 years after surgery, and all had reduction in pain as compared with completion of conservative care. Patients with early intra-articular hip pathology, such as acetabular labral tears with no or mild hip deformity, and patients with arthrosis and mild hip deformity may experience groin and posterior pelvic pain as part of their clinical presentation.