Adductor tendon avulsion tears around the hip may occur as acute disabling injuries causing groin pain and weakness, often in athletes. Repairs have been done via open surgery with good outcomes. Dr. Matsuda recently performed the very first completely endoscopic repair as an outpatient procedure. He has pioneered other endoscopic outpatient surgeries in the midline pubic region of the pelvis including endoscopic debridement of the pubic symphysis for chronic osteitis pubis and endoscopic repairs for athletic pubalgia (AKA core muscle injury). He has recently shared this new minimally invasive surgery with other surgeons around the world.