Filan D, et al. - This study seeks to identify the effect of routine capsular repair on clinical outcomes in a consecutive series of patients undergoing arthroscopic correction of symptomatic femoroacetabular impingement. Individuals were allocated to 1 of 2 groups based on whether a capsular repair was performed as part of their index hip arthroscopic procedure between 2009 and 2015. A sum of 966 consecutive cases were recruited(96.4% follow-up rate): 508 in group A (no repair) and 458 in group B (repair). At 2-years postsurgery, arthroscopic correction of femoroacetabular impingement with labral repair results in significant improvements in individual-reported outcomes, irrespective of whether the capsule is repaired. In a consecutive series of patients, the routine capsular repair did not lead to superior outcomes compared with a nonrepaired group; similar proportions of cases in both groups were able to achieve a minimal clinically important difference. At 2-years postsurgery, routinely repairing the capsule may lead to statistically inferior clinical outcomes in female individuals, although this may not be clinically significant. Nevertheless, routine capsular repair may be useful in the younger, active individual, where a significant reduction in repeat arthroscopy was noted.