Pain in the groin region, especially with prolonged sitting or driving in a car, may be the earliest sign of a progressive hip problem resulting from a labral tear or hip impingement. If left untreated, this could lead to hip arthritis at a young age. Recent advances in the understanding of groin pain now allow us to accurately evaluate and treat patients before they develop hip arthritis. We now have minimally invasive surgical procedures to slow down and possibly prevent the development of arthritis. While not all groin pain needs evaluation, people with recurrent groin pain may benefit from an evaluation by a dedicated hip specialist.