Nontraumatic pediatric hip pain and related hip pathology have a broad differential and often present a diagnostic dilemma. The age of the child; history and physical examination; and, if needed, laboratory and imaging studies can guide diagnosis. This article reviews the common etiologies for hip complaints occurring in the absence of trauma in children. The clinical presentation, evaluation, and management will be discussed as well as relevant existing literature to assist the physician in distinguishing between hip pathologies.