[Objective] To introduce the surgical technique of portal establishment without fluoroscopy and traction initially for hip ar- throscopy. [Methods] Under general anesthesia, the patient was placed on the traction operating table supine with 15 degrees of internal ro- tation, 15 degrees of adduction and 15 degrees of forward flexion. The body surface marking was routinely performed. Under the condition of no fluoroscopy and no traction initially, a 5 mm incision was made at the MA portal marking point, a forceps was used to separate the soft tissue to the capsule, and then a semi-open channel was inserted. A puncture needle was penetrated into the peripheral compartment of the hip. With exchange of the guide wire, cannulated rod and arthroscopic cannula, the arthroscope was inserted into the compartment. As the compartment was dilated with irrigation, it was visualized by the arthroscope. After that, the affected hip was placed straightly under trac- tion with 15° of internal rotation. As the traction force increased, the joint space was gradually retracted under direct vision. When the space was opened to 8~10 mm, the arthroscope was transferred into the central compartment, and other portals were established under ar- throscopic vision, and the surgical operation was completed as usual. [Results] From October 2018 to September 2020, a total of 242 pa- tients (270 hips) underwent hip arthroscopy in our hospital. Of them, 166 hips had portal established with the abovementioned new tech- nique, while the remaining 104 hips had portal established with the conventional technique under traction and fluoroscopy initially. The time consumed for portal establishment was (5.87±2.49) min in the new technique group, whereas (7.59±4.07) min in the conventional group, which was statistically significant between the two groups (P＜0.05) . [Conclusion] Compared with the conventional technique, this new technique does reduce radiographic radiation and traction injury, and shorten the operation time.