In the last decade, the treatment of hip disease has made huge advancements in terms of patients returning to high levels of function and also in the durability of hip prostheses. Although the anterior approach to the hip has had a long history in orthopedics, it is only in recent years that surgeons are rediscovering this approach to treat both new pathology i.e. femoroacetabular impingement, as well as to facilitate patient's recovery after hip replacement surgery. This issue of OCNA brings together leading experts in the field of hip reconstruction which have been to explore the full potential of the anterior approach in restoring hip function.