A total of 3 randomized controlled trials with 644 patients with femoroacetabular impingement (FAI) were included in this meta-analysis comparing arthroscopic hip surgery to physiotherapy treatment. The outcomes of interest included the EuroQoL-5D (EQ-5D) Visual Analogue Scale (VAS), the Hip Outcome Score (HOS) subscale of Activities of Daily Living, International Hip Outcome Tool (iHOT-33) scores, the Hip Outcome Score (HOS) Sports subscale, and the risk of a future total hip arthroplasty (THA). All pooled outcomes were assessed at a mean follow-up of 14.67 (SD 8.3) months, and iHOT33 scores was also measured at both 6 and 12 months follow-up. The pooled results demonstrated that EQ-5D VAS (p=0.03), HOS-ADL (p<0.0001), HOS-Sports (p=0.0003), and iHOT 33 scores were all statistically significantly in favour of the arthroscopic surgery group compared to the control at the mean of 14.67 months follow-up. Furthermore, iHOT33 scores were statistically significantly in favour of the arthroscopic group at 12 months (p=0.0002) follow-up, but not at 6 months (p=0.70). The risk of THA was not statistically significantly different between the two treatments (p=0.72).