A narrow safe angle exists for placing suture anchors into the acetabular rim during arthroscopic acetabular labrum repair. Intra-articular suture anchor placement has been reported, and cadaver studies have shown the highest risk of errant suture anchor placement at the anterior acetabular rim. We describe a technique using intraoperative fluoroscopy to guide suture anchor placement into the anterior and superior acetabular rim, which may reduce the risk of iatrogenic injury during arthroscopic acetabular labrum repair.