A 30-year-old semi-professional bowler with symptomatic cam-pincer FAI underwent elective arthroscopic acetabuloplasty and femoroplasty. Labral refixation was performed via the modified mid-anterior portal with 3.5-mm suture anchors (Pushlock, Arthrex, Naples, FL, USA) was performed at the 1 and 2 o'clock positions. During suture anchor placement, mild elevation of adjacent acetabular articular cartilage without implant penetration was seen. Sixteen months later, because of recurrent groin pain and index of suspicion, revision hip arthroscopy was performed at that time the suture anchor was partly visible under a 'veil' of thin translucent articular cartilage. Probing revealed no gross motion of the seated implant. A 4-mm unhooded burr was used to remove the encroaching longitudinal side of the anchor, initially at chondral surface level, to a subchondral level 2 mm below the articular surface. After an initial 6 weeks of protected weightbearing, he felt initial subjective improvement. But by 10 months, his pain had returned. He underwent a second revision arthroscopy. Intra-operatively, the previously burr-resected side of the anchor was exposed at the level of the adjacent chondral surfaces (Fig. 3) but not loose. Outerbridge grade 2 changes were observed at the anterior apex of the femoral head. Conservative 'unroofing' of marginal cartilage was done with a shaver. The anchor was dislodged using a microfracture awl and subsequently removed with a grasper through an 8-mm arthroscopic cannula without incident (Fig. 4). The remaining trough was treated with microfracture chondroplasty (Fig. 5). Pain and mechanical symptoms gradually resolved. Pre-operative NAHS of 36 decreased to a nadir of 18 at 10 months post-first revision, and increased to 88 at 2.4 years post-second revision surgery. Post-operative radiographs showed no joint narrowing. He has resumed competitive bowling and limits impact sports.