Why Might I Need a Total Hip Replacement?

In this video, Consultant Orthopaedic Surgeons Mr Paul Gaston and Mr Joe Littlechild explain the most common causes of hip pain, how a total hip replacement can help, and what the alternatives might be.

Infographic

How Osteoarthritis Affects the Hip

Diagram of a healthy hip joint
Diagram of a hip joint affected by osteoarthritis
Resources

Prepare for Your Appointment

Patient consulting with surgeon
Download Questions to Ask Your Surgeon A printable card with suggested questions and space to note down the answers — take it with you to your appointment.
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Statistics

Hip Replacement: The Results

NHS England surveys thousands of patients before and after surgery. Here's what they report.

Improved symptoms 86%

report symptoms are much better

Patient satisfaction 8 in 10

rate their outcome as very good or excellent

Better pain relief
8 in 10

experience significant pain relief

Limping when walking 83% → 11%
Troubled by pain at night 73% → 8%
Source: NHS England Finalised PROMs — Hip and Knee Replacement Procedures, April 2024 to March 2025 (digital.nhs.uk).
Key Points

When is a Hip Replacement the Right Option?

  • Osteoarthritis is the most common reason for needing a hip replacement — this is where the smooth cartilage gradually wears away, leading to painful bone-on-bone contact.

  • A total hip replacement is recommended when symptoms are significantly affecting your quality of life and other treatments are no longer helping.

  • More than 8 out of 10 people report that their symptoms are much better after surgery, and most experience significant pain relief and improved movement.

Complete and Continue