Mr Paul Gaston

Mr Paul Gaston

Consultant Orthopaedic Surgeon

MBChB (Hons), FRCSEd, FRCS (Tr&Orth)

Specialises in

  • Hip and knee replacement
  • Hip and knee arthroscopy
  • MAKO robot assisted hip and knee surgery

Also available for:

Virtual consultations:

My practice mainly involves hip and knee surgery with an interest in young adult hip joint pain. I am one of only a few surgeons that offer hip arthroscopy.

Since becoming a consultant I have developed an interest in young adult hip disorders, many of whom do not need joint replacement and have a condition called Femoro-Acetabular (Hip) Impingement (FAI). I am now able to offer open and arthroscopic hip surgery for the management of this problem. Over the last 10 years I have worked with Dr John Wilson, Anaesthetist.

After graduating from University of Edinburgh Medical School, I undertook surgical training in Edinburgh, followed by Orthopaedic training in Oxford and Edinburgh. I completed my training with Specialist Fellowships in Brisbane, Australia and Edinburgh, and was then appointed as a Consultant in the Arthroplasty Service in Edinburgh.


General Medical Council Number: C4042286

Treatment information

Some of the principal treatments carried out by Mr Paul Gaston at Spire include:

Other treatments

  • Robot-assisted MAKO total hip replacement

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Additional information

Hip revision surgery
Hip surgery
Knee surgery
Orthopaedic surgery
Soft tissue injuries
Sports injury

Special Clinical Interests: Hip joint replacement; Hip arthroscopy; Surgery for femoro-acetabular (hip) impingement, Knee joint replacement; Knee arthroscopy.

Professional memberships

British Hip Society

British Orthopaedic Association

Royal College of Surgeons of Edinburgh

  • Cost effectiveness of hip arthroscopy
  • Outcome of total hip replacement vs resurfacing
  • Comparison study of new versus standard knee replacement
  • Infection after joint replacement surgery


Modern knee replacements offer better outcomes for patients - 3 year results of a randomised controlled trial, Bone and Joint Journal 2015

Hip Arthroscopy for Femoro-Acetabular Impingement - cost effectiveness, Hip International 2014

Assessing Treatment Outcomes in Hip and Knee Replacement: The Net Promoter Score, Bone and Joint Journal 2014

5-year Outcome of the Triathlon Total Knee Replacement, Knee Surgery Sports & Traumatology Journal 2014

Resurfacing and Cemented Hip Replacement have an Equivalent Outcome at one year, Hip International 2014

What Determines Patient Satisfaction With Lower Limb Joint Replacement Surgery, BMJ Open 2013

Cost Effectiveness of Hip and Knee Joint Replacement Surgery, Bone and Joint Journal 2013

Enhanced Muscle Power after Total Knee Replacement, Journal of Orthopaedic Reseach 2013

Outcomes in Hip and Knee Replacement, Postgraduate Medical Journal 2012

Media Coverage

Annie's experience of hip replacement surgery

Lee's hip replacement story

Mark's hip replacement story

Consultant Orthopeadic Surgeon, Royal Infirmary of Edinburgh

Honorary Senior Lecturer, Department of Orthopeadics, University of Edinburgh

Telephone 0131 334 0363
Private secretary 0131 202 7651
Private secretary email