Hip replacement surgery

We offer advanced surgical techniques and expert aftercare to replace painful damaged hip joints and help you get back to everyday activities.

Sometimes also called

  • Hip arthroplasty

At a glance

  • Typical hospital stay
    2–5 days

  • Procedure duration
    60–90 minutes

  • Type of anaesthetic
    General, spinal or epidural

  • Available to self-pay?

  • Covered by health insurance?

Why Spire?

  • Fast access to treatment when you need it
  • Internationally and nationally renowned consultants
  • Flexible payment options to help you spread the cost
  • 98% of our patients are likely to recommend us to their family and friends

By Wallace Health I Medically reviewed by Adrian Roberts.
Page last reviewed: October 2018 I Next review due: October 2021

What is a hip replacement?

A hip replacement is a common operation to remove worn or damaged parts of your hip joint and replace them with an artificial joint, to help you move more easily and to reduce pain. Conditions like osteoarthritis or a hip fracture can make it hard to manage everyday tasks such as getting dressed, having a bath or walking. Chronic pain can also prevent you from sleeping well and enjoying life.

Who needs hip replacement surgery?

Hip pain is the main reason why you might need hip replacement surgery. As well as hip pain, hip replacement surgery may benefit you if you have:

  • Hip swelling, stiffness and reduced mobility
  • Reduced quality of life or disturbed sleep
  • Difficulty with daily activities, such as shopping or bathing
  • Depression due to pain or lack of mobility
  • Hip problems that affect your work or social life

Most people who have hip replacement surgery are between 60 and 80. Your doctor may recommend it if you have a condition such as:

You may need a hip replacement after a hip fracture.

Is hip replacement surgery right for you?

Hip replacement can ease pain and allow you to become more active again. However, it may not be suitable for you if the risks of surgery outweigh the benefits or you’re unable to cope with the recovery afterwards.

Before you decide to go ahead with hip replacement surgery, you should discuss the pros and cons with your doctor and research what’s involved before, during and after the operation.

As well as the potential benefits of reducing pain, increasing mobility and improving your quality of life, you should consider:

  • Your new hip joint may eventually need revision surgery after 10 to 20 years
  • As with all major surgery, there are some risks of complications
  • You’ll be less mobile for the first few weeks after the operation so you may need some help around the house and with errands
  • You may not be able to take part in certain sports or perform some movements, such as squatting

Alternative treatments to hip replacement surgery

Your doctor will usually recommend hip replacement surgery only after you’ve tried other treatments that haven't worked for you.

Non-surgical treatments include:

  • Pain or anti-inflammatory medication
  • Physiotherapy– your physiotherapist might also recommend changes to specific movements you make to ease your symptoms
  • Steroid injections
  • Walking supports, such as a cane
  • Weight loss

You’ll need an X-ray so your doctor can assess your hip. You can use our fast diagnostic services so you won’t have to wait long to find out if hip replacement surgery is right for you. Your consultant will discuss what would be best for you and your lifestyle.

Find your nearest hospital

Almost all our hospitals offer hip replacement surgery and have teams of orthopaedic (bone and muscle) surgeons who specialise in this procedure.

Spire Nottingham Hospital

How a hip replacement works

In a healthy hip joint

Your hips are ball-and-socket joints, where the head of your thigh bone meets a hollow in your pelvis. The surface of these bones is coated with smooth, slippery cartilage, which protects and cushions your bones, allowing them to move easily next to each other.

In an unhealthy hip joint

When the cartilage is worn or damaged, it makes your bones rub together. This can cause your hip to become stiff and can be very painful.

Total hip replacement

In a total hip replacement operation, your surgeon will hollow out your hip socket and the top of your thigh bone is removed. To create your new joint, they’ll implant a new socket in the hollow of your pelvis and insert a rod with a ball at the upper end into your thigh bone.

Hip joint implants can be made from:

  • Metal
  • Plastic
  • Ceramic

The most common combination of prostheses is a metal ball and plastic socket. Alternatively, and often used if you’re younger or more active, you can have a ceramic ball with a ceramic or plastic socket.

The new components are fixed to your bones using an acrylic cement. Although, if you’re more active, you can have one or both parts fixed without cement. In these cases, the implant surface is roughened or coated in a special material which helps encourage natural bone growth and fusion with the implanted prostheses.

Your doctor will recommend the best option for you by considering:

  • Your age
  • Your natural hip size
  • The shape of your hip
  • How active you are now and plan to be in the future

It’s even possible to have implants tailor-made for an even better fit.

Most surgery is carried out using a large 20-30cm incision. However, a newer procedure called minimally-invasive hip replacement requiring a smaller cut and special instruments can mean you experience less pain after the operation.

Full hip replacement surgery

Watch how a hip replacement surgery takes place

Play video
View transcript of this video Hide video transcript

This video explains what happens during a hip replacement surgery. A hip replacement is a common operation to remove worn or damaged parts of your hip joint and replace them with an artificial joint. It is often recommended if other treatments such as physiotherapy or steroid injections haven't helped reduce pain or improve mobility.

Your hip is the joint between the thigh bone or femur and the pelvis. The pelvis contains three bones called ilium, ischium, and pubis. 

The hip joint is a ball-and-socket joint. The round head of the femur rests in a cavity, the acetabulum, that allows the rotation of the limb. The surface of these bones is coated with smooth, slippery cartilage also called articular cartilage which protects and cushions your bones allowing them to move easily next to each other.

When the cartilage is worn or damaged, the bones rub against each other causing pain and lack of mobility. Under an aesthetic, the surgeon will remove both the socket and the top of your thigh bone. The replacement components are the metal head and a plastic cup which are then inserted back into the socket of your pelvis.

A replacement ball on a stem will be inserted into your thigh bone. The ball is then placed into the socket putting your hip joint back together. 

The surgery usually takes around 90 minutes. You should be able to leave the hospital after three to five days.

For the first weeks after the surgery, you'll need a walking aid such as crutches to help support you. Physiotherapy will help strengthen your muscles and ensure your new hip works at its best. For more information, contact your local Spire hospital or visit the Spire Healthcare website.

Your operation: what to expect

Preparing for hip replacement surgery

It’s important to stay as active as possible before the operation and strengthen your muscles around your hip to improve your recovery. You may be seen by a physiotherapist who can give you advice about particular exercises you can do to help before and after your operation.

Before your operation, you’ll need a pre-operative assessment appointment with a nurse to ensure that you’re fit enough for surgery. Your nurse or consultant will tell you what this will involve and give you instructions on how to prepare in the days leading up to your operation.

It’s best to arrange for someone to take you home and help you around the house for the first few days after surgery. It’s also a good idea to prepare your home for after your operation to make it easier for you to get around safely and more easily – remove anything you can trip over and make sure important items are easy to reach.


Hip replacement surgery is usually done under general anaesthetic, where you’ll be unconscious during the operation. This usually means you won’t be able to eat anything for six hours or drink anything for two hours before your procedure. However, some patients may have an epidural anaesthetic, where you're awake but won’t be able to feel anything from the waist down. If you have this option, you may have a sedative to help you feel more relaxed. Your consultant will discuss with you what’s best in your case. On the day, you’ll be seen by an anaesthetist who will administer your anaesthetic before your operation.

How long does a hip replacement take?

Usually between one hour and 90 minutes.

Pain after hip replacement surgery

As with most operations, you’re likely to feel some discomfort afterwards, which may last a few days or weeks. You’ll be given painkillers and we can help you manage any pain as you recover. The good news is the chronic pain you felt before your hip replacement should go away, so you should be yourself again in a few months.

Your hospital stay

The average hospital stay is two to five days.

Q & A

Alun Wall, Consultant Orthopaedic Surgeon

Talking about hip replacement

Your recovery: what to expect

How quickly you recover from your surgery depends on how fit you were before, and on the type of operation you have.

When you wake up from surgery, you’ll probably have a pillow between your legs to keep your hip in the correct place. You’ll have some dressings on your wounds and stitches that will be removed by a nurse or doctor around a week or so after your operation, or they’ll disappear by themselves if they’re dissolvable.

In the short term, you may feel some of the side effects of general anaesthetic, which include nausea and vomiting. You may also be constipated, so try drink plenty of fluids and eat high fibre foods. If this doesn’t help, your doctor can prescribe some medication.

To prevent deep vein thrombosis, you’ll need to wear compression stockings and try get active again as soon as you’re able to safely.

Physiotherapy and ongoing treatment

While you're in hospital, a physiotherapist will take you through a series of exercises to strengthen your muscles and to help your new hip work at its best. At home, it’s important to do these exercises after hip replacement surgery to speed your recovery so you can start to enjoy everyday life again.

Your lifestyle after treatment

You should expect to be pain-free and to move more easily, without any stiffness in your hip. Your consultant will discuss how to enjoy your usual activities safely. You may be advised to avoid some activities, eg extreme sports that risk over-extending or dislocating your new hip.

How long does a hip replacement last?

A modern artificial hip joint replacement should last for 15 years or more.

Treatment and recovery timeline

Everyone's different, but here’s a rough guide to recovery from a total hip replacement:

View interactive timeline View full timeline

1-2 days

Walk with support and help from a physiotherapist

3-5 days

You’ll be able to leave hospital

1-2 weeks

Walking more each day using a walking aid

2-6 weeks

Gradually able to do more exercises such as gentle swimming and static cycling

6-8 weeks

Return to work if desk based, no longer require walking aid, be able to drive if advised by your surgeon, and be able to have sex, but avoid positions of potential dislocation

12 weeks

Return to work for manual labour jobs, you should feel normal again and be able to perform your usual activities

  • 1-2 days

    Walk with support and help from a physiotherapist

  • 3-5 days

    You’ll be able to leave hospital

  • 1-2 weeks

    Walking more each day using a walking aid

  • 2-6 weeks

    Gradually able to do more exercises such as gentle swimming and static cycling

  • 6-8 weeks

    Return to work if desk based, no longer require walking aid, be able to drive if advised by your surgeon, and be able to have sex, but avoid positions of potential dislocation

  • 12 weeks

    Return to work for manual labour jobs, you should feel normal again and be able to perform your usual activities

Risks and complications

Nine in ten people can expect their hip replacement to be functioning 10 years after surgery. Cases of failure requiring revision surgery is around 1% per year for the first five years.

The risk of serious complications is low and most people have hip replacement surgery without complications, but all surgery carries risks. Your consultant will talk you through any potential risks before you go ahead. They can include:

  • Dislocation
  • Joint stiffening
  • Fracture
  • Infection at the wound or urine infection
  • Injuries to blood vessels or nerves and bleeding under your skin
  • One leg longer than the other

Wear and tear of the new artificial joint can occur, causing tiny particles to break off and be absorbed by surrounding tissue. This can result in the joint loosening and will need careful monitoring with X-rays and possibly further surgery to correct.

Risks of general anaesthetic

Serious complications associated with general anaesthetic do occur, but they're extremely rare. For most people, the benefits in terms of controlled unconsciousness and removal of pain are much greater than the disadvantages. It’s estimated that serious complications result in approximately four deaths for every million anaesthetics given. The pre-operative assessment is carried out to limit the risk of any complications occurring.

At Spire hospitals, your safety is our top priority. We have high standards of quality control, equipment and cleanliness and an ongoing system of review and training for our medical teams.

The treatment described on this page may be adapted to meet your individual needs, so it's important to follow your healthcare professional's advice and raise any questions that you may have with them.

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