Trochanteric Bursitis is a common cause of lateral hip pain in middle-aged and older adults.  Tip off will often be a deep, aching pain at night while lying on the lateral hip on the affected side which improves with offloading.  Pain may sometimes migrate distally down the lateral thigh.  Tenderness over the Greater Trochanteric on physical examination reproduces the pain.  Hip will usually have normal internal and external rotation without pain, unless underlying osteoarthritis of the hip exists concomitantly.  Osteoarthritis of the hip will usually yield anterior hip pain, as opposed to lateral and with limited internal and external rotation of the hip.  If cancer is known or suspected, radio imaging is recommended, otherwise the diagnosis is clinical.  Treatment is conservative with NSAIDS or a cortisone injection, which is highly effective, into the Trochanteric Bursa, an easy office procedure.  Meralgia Paresthetica, which occurs from entrapment of the Lateral Femoral Cutaneous Nerve, usually at the inguinal ligament, will give numbness, tingling, and a burning pain over the anterolateral hip, but no pain on palpation over the Greater Trochanter.  It is worsened by standing and walking and relieved by sitting.  A positive Tinel’s sign inferomedial to the anterior superior iliac crest may confirm Meralgia Paresthetica along with the clinical presentation.  DDX includes sciatica.  Compression from tight seat belts or waist belts, standing, or abdominal obesity is a common provoking factor.  Treatment is conservative depending on the cause.