Hip Replacement Surgery: A Complete Guide for UK Patients

Hip replacement surgery has become one of the most successful and frequently performed orthopaedic procedures in the UK, with tens of thousands of operations carried out each year. This surgical intervention involves replacing a damaged or worn hip joint with an artificial implant, restoring function and alleviating chronic pain that can severely impact daily activities.

The decision to undergo hip replacement is significant, and patients benefit from comprehensive information about what the procedure entails, who performs it, where it can be done, and what the recovery journey looks like. This guide provides practical insights to help you navigate your options with confidence.

What Types of Hip Replacement Surgery Are Available?

Hip replacement surgery comes in several forms, each suited to different patient needs and conditions. Total hip replacement is the most common type, where both the ball (femoral head) and socket (acetabulum) are replaced with prosthetic components made from metal, ceramic, or plastic materials. Partial hip replacement involves replacing only the femoral head and is typically performed following certain types of hip fractures, particularly in older patients.

Resurfacing is another option where the damaged bone surface is trimmed and capped with a metal covering, preserving more of the patient’s natural bone. This approach is generally considered for younger, more active patients with good bone quality. Minimally invasive hip replacement uses smaller incisions and specialized techniques to reduce tissue damage, potentially leading to faster recovery times, though not all patients are suitable candidates for this approach.

How Do You Prepare for Hip Replacement Surgery?

Proper preparation significantly influences surgical outcomes and recovery speed. Your surgeon will conduct a thorough medical assessment, including blood tests, X-rays, and possibly MRI scans to evaluate your hip condition and overall health. You may be asked to lose weight if necessary, as excess weight can complicate surgery and recovery.

Smoking cessation is strongly encouraged, as smoking impairs healing and increases complication risks. Your medical team will review all medications you currently take, and some may need to be adjusted or temporarily stopped before surgery. Physical preparation includes strengthening exercises for your upper body and unaffected leg, which will support you during recovery.

Home preparation is equally important. Arrange for someone to assist you during the first few weeks after surgery, remove tripping hazards like loose rugs, install grab bars in bathrooms, and place frequently used items at waist height to avoid excessive bending or reaching.

Who Is Eligible for Hip Replacement Surgery?

Eligibility for hip replacement depends on several factors beyond just the severity of hip damage. Ideal candidates typically experience persistent hip pain that limits daily activities, interferes with sleep, and has not responded adequately to conservative treatments such as physiotherapy, pain medication, or lifestyle modifications.

Age is less of a determining factor than overall health status and bone quality. While hip replacements are commonly performed on patients over 60, younger patients with severe hip damage may also be considered, though they may require revision surgery later in life as implants have a limited lifespan of approximately 15 to 25 years.

Certain medical conditions may affect eligibility or require special consideration. Active infections, severe osteoporosis, significant heart or lung conditions, and neurological disorders that affect muscle control may complicate surgery. Your surgeon will assess these factors individually to determine if hip replacement is appropriate for you.

Which UK Hospitals and Surgeons Specialize in Hip Replacement?

The UK offers numerous options for hip replacement surgery through both NHS and private healthcare systems. NHS hospitals provide hip replacement services at no direct cost to patients, though waiting times can vary significantly depending on location and clinical priority. Private hospitals typically offer shorter waiting times and enhanced amenities, though costs can be substantial.

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Hospital Type	Average Waiting Time	Key Considerations	Estimated Cost Range
NHS Hospital	12-26 weeks	No direct cost, regional variation	£0 (NHS funded)
Private Hospital	2-6 weeks	Self-pay or insurance required	£10,000-£15,000
Private with NHS Funding	8-16 weeks	Selected providers only	£0 (NHS funded)

Prices, rates, or cost estimates mentioned in this article are based on the latest available information but may change over time. Independent research is advised before making financial decisions.

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When selecting a surgeon, consider their experience level, specialization in hip procedures, and patient outcomes. Most orthopaedic surgeons who perform hip replacements have completed extensive training and conduct dozens to hundreds of these procedures annually. You can research surgeon credentials through the General Medical Council website and review hospital performance data through NHS Digital and the Care Quality Commission.

Patient reviews and testimonials provide valuable insights into the quality of care, though they should be considered alongside clinical outcome data. Many hospitals publish their infection rates, revision surgery rates, and patient satisfaction scores, which are important indicators of quality.

What Should You Expect During Hip Replacement Recovery?

Recovery from hip replacement surgery follows a predictable timeline, though individual experiences vary based on age, overall health, and adherence to rehabilitation protocols. Most patients spend one to four days in hospital following surgery, with mobilization beginning within 24 hours under physiotherapy guidance.

Pain management is a priority during the initial recovery phase, with medications adjusted to keep discomfort manageable while allowing you to participate in physiotherapy. You will use walking aids such as crutches or a walker for several weeks, gradually transitioning to a cane and eventually walking unaided.

Physiotherapy is essential for optimal recovery, starting in hospital and continuing for several months afterward. Exercises focus on strengthening hip muscles, improving range of motion, and restoring normal walking patterns. Most patients can resume light activities within six weeks, return to driving after six to eight weeks (with medical clearance), and achieve maximum improvement within three to six months.

Long-term recovery involves adapting to certain activity modifications. High-impact activities like running or contact sports are generally discouraged to prolong implant lifespan, while low-impact exercises such as swimming, cycling, and walking are encouraged. Regular follow-up appointments allow your surgeon to monitor implant function and address any concerns.

Conclusion

Hip replacement surgery represents a highly effective solution for severe hip problems that significantly impair quality of life. Understanding the different surgical approaches, preparation requirements, eligibility criteria, and recovery expectations empowers you to make informed decisions about your care. Whether you choose NHS or private treatment, selecting experienced surgeons and reputable hospitals, combined with commitment to rehabilitation, maximizes your chances of achieving excellent outcomes and returning to the activities you enjoy.

This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.