Femoroacetabular impingement (FAI) is an important factor contributing to hip discomfort and dysfunction in young, active adults and may result in early-onset osteoarthritis (OA) if left untreated. FAI arises from atypical contact between the femoral head and the acetabular rim, resulting in gradual joint deterioration. It is categorized into three types: cam, pincer, and mixed, each exhibiting unique abnormalities contributing to joint deterioration. Although conservative treatments like physical therapy and anti-inflammatory drugs may provide symptomatic relief, they frequently do not resolve the structural problems associated with FAI. Surgery is often essential to relieve discomfort, restore hip functionality, and prevent the progression of osteoarthritis. Arthroscopic surgery has emerged as the favored approach for addressing FAI because of its minimally invasive characteristics, expedited recovery periods, and diminished complication rates. Nonetheless, open surgery continues to be the benchmark for intricate abnormalities necessitating comprehensive joint reconstruction. This review evaluates the results, rehabilitation procedures, and complication profiles of both treatments. Although both methods are effective, the selection of the surgical technique must be designed to the individual patient's characteristics and the complicated nature of the deformity. Future investigations, particularly randomized controlled trials with extended follow-up, are crucial for determining effective guidelines for the management of FAI.