Hip arthroscopy is a surgical procedure commonly used for hip pathologies including femoroacetabular impingement (FAI). Perioperative considerations in hip arthroscopy have not been explored as thoroughly as more common orthopedic procedures. Preferences vary between surgeons, and there is no current consensus regarding various aspects of perioperative management. Utilization of traction, patient positioning, type of anesthesia, regional nerve blocks, as well as the use of antibiotic prophylaxis and tranexamic acid must be considered. This review will summarize the current literature on this topic, identify recent techniques that have demonstrated promise, and provide suggested direction for future research. Level of Evidence: IV.