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Knotless anchors have an important role in arthroscopic acetabular labral repair. Different anchors show 2 primary failure modes: suture breakage and suture pullout from the anchor ("eyelet failure"). Knotless anchors show minimal displacement at physiological loads and should perform well for arthroscopic labral repair. Surgeons should consider the suture-passing device size and use a device that creates as small of a labral hole as possible. See related article on page 70 K notless suture anchors are commonly used in hip arthroscopy and offer some advantages over anchors that require knot tying. These advantages include their ease of use and quicker insertion time compared with tied knots. Although not clearly documented in the current literature, there are anecdotal reports of adhesions between a retained knot and the adjacent capsule or psoas tendon observed during revision hip arthroscopy. This has led some surgeons to suggest that a knotless suture anchor may decrease the creation of such adhesions.