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The single most important predictor for prolonged chronic postoperative opioid use is preoperative use. Despite the well\u2010documented high success rates in nonarthritic, nondysplastic individuals undergoing hip arthroscopy, up to half of those individuals on preoperative opioids may still be on opioids at 1 to 2 years of follow\u2010up. Mental wellness disorders (e.g., depression, anxiety, substance abuse) significantly impact both pre\u2010 and postoperative pain, function, and activity in nearly all joint and general health outcome measures. Multimodal pain management strategies have shown excellent reduction in perioperative opioid utilization. Intraoperative techniques should strive for comprehensive true hip preservation: labral repair, accurate cam\/pincer morphology correction, and routine capsular management. Objective, quantitative pain threshold and pain tolerance measurements may improve treatment decision\u2010making, with better prediction of surgical outcomes. Future personalized health care may use a single individual\u2019s mu opioid receptor (\n                    <jats:italic>OPRM\u20101<\/jats:italic>\n                    gene) and a number of other genetic markers for\u00a0pain management to reduce the need for traditional opioid medications. Is opioid\u2010free hip arthroscopy possible? Absolutely. Will the opioid epidemic end? Yes, but we have a lot of work to do.\n                  <\/jats:p>","DOI":"10.1016\/j.arthro.2020.03.011","type":"journal-article","created":{"date-parts":[[2020,6,2]],"date-time":"2020-06-02T18:22:49Z","timestamp":1591122169000},"page":"1608-1611","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["<i>Editorial Commentary:<\/i>\n                    Hip Preservation and Opioids"],"prefix":"10.1002","volume":"36","author":[{"given":"Joshua 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