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The combination of iliopsoas tendon impingement and snapping hip syndrome with persistent hip pain is rare in patients following total hip replacement (THR). Diagnosis should be made by clinical physical examination, with the exclusion of complications following THR by imaging or laboratory studies. Accurate diagnosis and adequate treatment can result in an excellent outcome and patient satisfaction. Hip arthroscopy can resolve both iliopsoas tendon impingement and snapping hip syndrome with minimally invasive surgery, immediate improvement, and rapid recovery.