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Young and middle-aged active adults with hip and groin pain often present with a confusing overlap of signs and symptoms. There is no consensus on how to define or classify hip disease with different and overlapping intra-articular and extra-articular contributors to symptoms in an anatomically complex region. Several researchers and consensus groups have previously attempted to define aspects of hip and groin pain.1–4 In 2017, the International Hip Pain Research Network (IHiPRN) was established to facilitate collaboration across research groups and disciplines and to improve knowledge dissemination of hip-related pain to clinicians. In this paper,5 published in the British Journal of Sports Medicine, we first describe the general consensus process applied to all topics in this series. We then make recommendations on the first topic on how to …