Dual hesitant fuzzy elements (DHFEs) are suitable to express hesitant possible preferred and nonpreferred judgments of decision makers. Preference relation is an important tool in decision making that only needs the decision makers to compare a pair of objects at one time. This study focuses on decision making with dual hesitant fuzzy preference relations (DHFPRs). Considering the consistency, an additive consistency concept is defined. Meanwhile, the property of the new concept is studied. Using this consistency concept, a method for assessing the additive consistency of DHFPRs is offered. To extend the application of DHFPRs, a programming model to determine the missing DHFEs in incomplete DHFPRs is built, which have the highest additive consistency level for the known ones. Two equivalent methods to calculate the priority vector are offered. One method obtains the probabilistic dual hesitant fuzzy priority vector, and the other derives the intuitionistic fuzzy priority vector. Furthermore, a consensus index is defined to measure the consensus of individual opinions in group decision making (GDM), and an interactive method for increasing the consensus level is offered. On the basis of the additive consistency and consensus, an algorithm to GDM with DHFPRs is offered that can address inconsistent and incomplete cases. Finally, a practical example about evaluating color TV is provided to demonstrate the usefulness of the new procedure.