What Happens During a Hip Replacement Procedure?

Understanding what actually happens during hip replacement surgery can make the entire experience much less daunting. The procedure is highly refined, predictable and supported by decades of successful outcomes.

A hip replacement begins with anaesthesia — either spinal or general, depending on your health and preference. Once the surgical area is prepared, the surgeon gently removes the damaged ball-and-socket joint, including the worn cartilage that causes pain and stiffness.

A smooth, durable prosthetic socket is placed into the pelvis, followed by a strong metal stem fitted into the thigh bone. A ball made of ceramic or metal is attached to the top of the stem, creating a new, low-friction joint that moves comfortably and freely.

Modern techniques prioritise precision and tissue preservation. Many surgeons now use smaller incisions, refined instruments and imaging guidance to improve alignment and reduce recovery time. Blood loss is lower than in previous decades, and operating times are typically under two hours.

Once the procedure is complete, patients are encouraged to stand and walk — often the same day — with physiotherapy support. Most people are surprised at how quickly confidence returns.

Knowing what to expect helps remove uncertainty, making the journey toward a new, pain-free hip much smoother.