The most important initial step while obtaining the patient’s clinical history is to ask the patient to point to the area of “hip pain.” Most will point to their back or their lateral thigh, not their groin. In general, hip pain is groin pain. Patients with true hip pain usually complain of limitation of hip motion, a painful limp, and pain in the groin on movement. Pain occurs less often at rest and rarely at night. Care while obtaining the patient’s clinical history may reveal childhood hip disorders, such as Legg-Calvé-Perthes disease, slipped capital femoral epiphysis, developmental dysplasia of the hip, and septic arthritis. Concomitant disorders such as osteoarthritis, rheumatoid arthritis (RA), psoriatic arthritis or ankylosing spondylitis, malignancy, or low back pain may provide insight into the etiology of the hip pain. A history of alcohol or steroid use is pertinent in patients suspected of having osteonecrosis. Response to prior therapies, including physical therapy, anti-inflammatory medications, modification of activity, night pain, or use of assistive devices helps one to assess the severity of the pain. Accompanying fever, chills, weight loss, or fatigue, or a history of recent infection are important symptoms that could reflect an infected hip or metastatic lesion.