Athletic palagia, frequently termed as sports hernia or core muscle injury, is a prevailing cause of groin discomfort in athletes. Originating from potentially multifaceted interactions in the anterior pelvic region, its diagnosis is convoluted, owing to overlapping symptoms with other conditions and the absence of definitive diagnostic tools. Treatment approaches oscillate between conservative and operative modalities. Conservative treatment typically constitutes rest, physical therapy, and medication, while operative treatment comprises techniques like open, laparoscopic, and endoscopic repairs. Efficacy of treatments can significantly be modulated by personalized rehabilitation protocols. Recent studies indicate that while both treatments can be effective, surgery might facilitate a marginally quicker return to sports. Continued research aims at refining the understanding of athletic palagia, its treatment, and rehabilitation, underscoring the need for standardized measures, randomized trials, exploration of etiological factors, and enhanced preventative strategies. This paper provides an exhaustive overview of current methods, challenges, and prospective avenues in athletic palagia management.