Background: Hemosiderotic synovitis is a rare and chronic synovial disorder caused by recurrent hemorrhages within the joint. It leads to significant structural alterations, often progressing to chronic osteoarthritis. Typically presenting as a monoarticular disorder with pain and restricted range of motion, it is most commonly observed in adult males, with the knee joint being the most frequently affected site. The predominant causes include hereditary bleeding disorders, followed by trauma. Case Report: We present a case of hemosiderotic synovitis of the hip joint in a 63-year-old female without any history of bleeding diathesis. The patient's clinical presentation included progressive hip pain and restricted movement. Arthroscopic evaluation played a crucial role in diagnosis and management, allowing direct visualization of the pathology, symptom relief, and tissue sampling for histopathological confirmation. Conclusion: Early recognition of this distinct subtype of hemosiderotic synovitis and an understanding of its potential underlying causes can lead to prompt diagnosis, significantly reduced morbidity, and improved patient outcomes.