How Is Hip Replacement Surgery Done? Step by Step
Modern hip replacement is a highly precise and safe procedure. Dr. Sushil Sharma uses advanced techniques to help ensure faster recovery, less pain, and improved mobility. Here’s what actually happens, from preparation through to recovery.
Before Surgery
A full medical history, physical examination, and pre-surgery tests (X-rays, blood work, ECG) are completed to confirm you’re fit for surgery and anaesthesia. Your surgeon will discuss anesthesia options with you in advance — either general anesthesia (fully unconscious) or a spinal/epidural anesthetic (sedated but awake), based on your health profile and preference.
The Procedure, Step by Step
- Preparation: The surgery is performed under general or regional anesthesia. The surgical area is prepared and the incision site marked.
- Removal: The damaged femoral head (the “ball” of the hip joint) and worn-out cartilage from the hip socket are removed.
- Implantation:
- A metal stem is inserted into the thighbone (femur)
- A ceramic or metal ball is attached to the stem
- A metal socket with a plastic or ceramic liner is placed in the pelvis, replacing the damaged socket
- Verification: The surgeon checks joint stability, alignment, and range of motion before closing the incision.
The surgery itself typically takes about one and a half hours, with additional time needed for anaesthesia and preparation in the operating room.
Immediately After Surgery
You’ll spend time in a recovery area before being moved to your hospital room. Pain is managed with appropriate medication, and most patients are able to reduce strong pain medication within two days. Most hip replacement patients are hospitalized for three to four days after surgery.
Early Recovery
- You’ll need a walker initially, transitioning to a cane as your muscle strength returns
- Most patients need assistance at home with daily tasks like meal preparation and housekeeping for the first one to two weeks
- Driving can typically resume within two to six weeks, depending on which hip was operated on and your car type — your surgeon will advise based on your specific case
- Low-impact activities like walking, swimming, and gardening are encouraged during recovery; high-impact activities such as running or contact sports are not recommended afterward
Risks and Safety
Most hip replacement surgeries proceed without complications. The most serious risks — infection and blood clots — occur in roughly 1% or fewer of cases, and are managed through antibiotics, blood thinners, and strict operating room precautions. Your surgeon and physical therapist will also guide you on reducing the risk of hip dislocation during early recovery.
How Long Does a Hip Replacement Last?
Most artificial hips last more than 15 years with proper care, though implant wear varies by patient activity level and other factors. A small percentage of patients may eventually need revision surgery if the implant loosens over time.
Ready to Take the Next Step?
If you’re experiencing hip pain that’s affecting your daily life, understanding the procedure is often the first step toward feeling confident about treatment. Dr. Sushil Sharma has performed hip replacement surgery for over 38 years and can walk you through exactly what to expect for your specific case.
Book a consultation with Dr. Sushil Sharma to discuss your hip replacement options. Schedule Your Consultation