Osteoarthritis is the most common joint disease and the most common cause of chronic physical disability in the elderly, most often progressing gradually, and the symptoms are often ignored until the activities of daily activities are affected. Hip osteoarthritis is a clinical diagnosis that can often only be diagnosed according to the clinical picture, but a radiological finding may be useful to confirm the diagnosis or to monitor the disease. Treatment of patients with osteoarthritis of the hip can be divided into conservative, pharmacological and surgical. In patients with mild osteoarthritis without severe symptoms, a satisfying effect can be achieved by weight reduction and with exercise and paracetamol. The clinical symptoms of osteoarthritis depend on the stage of the disease, and are manifested by a chronic course, slowly, very rarely abruptly. Pain is the main and most common symptom, in the beginning, it is indeterminate, then it appears only at excessive loads on the joint, and in the end it becomes stronger and more present. Hip osteoarthritis can be diagnosed based on a physical examination and medical history. An interview can be conducted with the patient from which information can be obtained, and that can confirm whether if it is a potential osteoarthritis of the hip. Osteoarthritis can be treated with surgery, pharmacological intervention, while therapeutic exercise can increase quality of life and reduce pain.