When is total hip replacement recommended for hip osteoarthritis?

Hip osteoarthritis gradually changes the cartilage and bone surfaces of the joint. Symptoms may include groin or thigh pain, stiffness after rest, reduced hip movement, and difficulty walking, sleeping, or putting on socks. A replacement discussion is based on how the condition affects your life and what examination and imaging show, rather than on an image alone.

The operation replaces the damaged ball and socket surfaces with artificial components. The surgeon also considers bone quality, muscle strength, general health, previous hip procedures, and whether symptoms fit the scan. Rehabilitation then focuses on safe movement, walking, and progressive strength.

More background is available in [Hip Osteoarthritis](/conditions/hip-osteoarthritis/).

Discuss the pattern of pain, walking limits, sleep disruption, and treatments already tried with an orthopaedic clinician. Physiotherapy, activity adjustment, a walking aid, and medicines may help some people while surgery is being considered. Bring a current medicine list and mention other conditions that could affect anaesthesia or recovery.

Read about the procedure in [Total Hip Replacement](/treatments/joint-replacement/total-hip-replacement/).

Seek urgent assessment for sudden severe hip pain after a fall, inability to bear weight, a new shortened or rotated leg, fever with a hot swollen joint, or new weakness or numbness. These features may point to an injury, infection, or nerve problem rather than routine osteoarthritis symptoms.

Ask what the imaging shows, which symptoms are likely coming from the hip, what options remain before surgery, how your other health conditions affect preparation, and which recovery milestones determine return to driving, work, and usual activities.